脊髓灰质炎后遗症下肢不等长外科治疗策略(附1582例报告)

Surgical treatment tactics for lower limb discrepancy of the sequela of poliomyelitis

目的 :探讨脊髓灰质炎后遗症下肢不等长外科治疗策略 ,介绍胫骨延长的新手术方法。方法 :回顾性分析 1985年 9月～ 2 0 0 3年 5月共收治脊髓灰质炎后遗症下肢不等长 15 82例 ,根据患者的年龄和下肢短缩的不同类型 ,应用 10种下肢均衡术 ,研制了复合式小腿延长器。结果 :15 2 9例术后获得了 3个月以上随访 ,下肢均衡最少1cm ,最多 11 3cm。未发生 1例严重手术并发症。结论 :根据下肢短缩的不同类型 ,选择适合的手术方式 ,方能获得优良效果 ,新研制的复合式小腿延长器 ,能一期矫正小腿短缩和足踝畸形。

Objective:To explore the surgical treatment tactics for lower limb discrepancy of sequela of the poliomyelitis,and to introduce the new surgical procedures of lengthening tibia Method:Analyzed retrospectively 1 582 patients of lower limb discrepancy of the poliomyelitis sequela,between September 1985 and May 2003,according to the patients' age and different symptoms,those patients were performed on 10 surgical procedures of balancing the lower limbs and were used the composite lengthening apparatus of the lower extremity Result: 1 529 cases of all patients were followed up for more than three months,those patients' lower limbs were balanced by lengthening from lcm to 11 3cm,without any serious complications Conclusion:According to the different types of shortening of the lower limbs and selecting proper operative methods,the ideal effects will be obtained The shortening of the lower limbs and the deformities of the foot ankle can be simultaneously corrected by using the new composite lengthening apparatus of the lower extremity