小腿骨痂牵开延长术治疗儿麻病后遗下肢不等长畸形的临床报告

Leg Lengthening by Callus Distraction(Callotasis) to Treat Deformity of Leg Un-equality after Infantile Paralysis

从１９８６年６月～１９９２年８月，采用骨痂牵开延长术收治６６名儿麻病患者。其中男４４人，女２２人。年龄范围１５～３０岁，平均２２岁。患肢短缩范围３～１０ｃｍ，平均５．２ｃｍ。术后获得骨延长长度３～９ｃｍ，平均４．８ｃｍ。延长率为原骨长度的９％～３２．５％，平均１８％。骨愈合时间３５～７５天，平均５８天。并发症包括腔腓骨截骨后过早愈合３例。

Abstract Form June 1986 to August 1992,Wehad performed leg lengtbening on 64 pa-tients of poliomyelitis using the technique ofcallotasis,Among them there were 44 maleand 22 female. Age ranged form 15 to 30years,average 22 years. The lower limbshortening ranged from 3 to 10cm,average5.2cm. The increase of postoperative lengthranged from 3 to 9cm,average 4.8cm, Thegained lengthening rate were between 9%to 32.5%,average 18%. Bone union oc-curred in 35 to 75 days,average 58 days.Complications included precocious consoli-dation of tibia and fibula at osteotomy in 3patients.The operative procedure and post-operative management were described in de-tail.