胫骨干骺端延长术应注意的问题

Some attentions related to metaphysial lengthening of the tibia/

小儿痹麻后遗下肢畸形与功能障碍,表现繁多,肢短只是其中之一;矫正畸形重建下肢功能,常需多次手术,肢体延长仅是此系统工程中的一环,且此手术仍有一些合并症,不应盲目乐观。配套的手术应贯彻始终,如系统工程半途而废,则难于发挥最佳康复效果,甚至得不偿失。本文介绍了18例胫骨干骺端骨延长术的体会及某些有关问题。

There are sundry manifestations of limb deformity and dysfunction of anterior poliomyelitis, phocomely of the leg is only one of these sequelae. Correction of deformity and reestablishment of the function of the lower extremities usually need a series of operations, leg lengthening is only one procedure of these works. It still has a definite percentage of complications. Therefore, we should not be so unrealistically optismistic. These serial designed operations should be done by stages from the begining to the end. Otherwise, if give up in halfway, the utmost rehabilitative effects will be lost even loss outweights the gains. In this artical, we introduced the experiences and its related problems of 18 cases of metaphysial lengthening of the tibia.