成人一侧股骨、胫骨分段延长术

 目的设计股骨胫骨分段延长术治疗严重短肢合并股骨前倾角畸形疑难病例.方法1990年5月～1999年12月用该术式实施的脊髓灰质炎后遗成人严重短肢合并股骨上端畸形12例.结果随访时间最短2 a,最长9 a,平均6 a.12例中胫骨延长从3.5～5.5cm,平均4.4 cm;股骨延长1.6～3.5 cm,平均2.7 cm,股骨胫骨共延长5.1～8.5 cm,平均7.1 cm;前倾角畸形明显改善.结论股骨胫骨分段延长术是治疗严重短肢合并股骨上端畸形的一种有效治疗方法.

Stepwise femoral and tibial lengthening operation on adult patients

Objective To devise an operative technique of femoral and tibial lengthening to correct the deformity of severe short limb accompanied by femoral anteversion.Methods From May 1990 to December 1999, 12 patients with severe short limb deformity complicated by femoral superior end deformity as sequelae to poliomyelitis were treated by stepwise femoral and tibial lengthening.Results The 12 patients were followed up for 2 to 9 years,with a mean of 6 years. The tibiae were lengthened from 3.5 to 5.5 cm,with a mean of 4.4 cm;the femora were lengthened from 1.6 to 3.5 cm,with a mean of 2.7 cm; the total lengths were increased from 5.1 to 8.5 cm,with a mean of 7.1 cm. The femoral anteversion deformities were corrected remarkably.Conclusion Stepwise femoral and tibial lengthening operation is effective for correction of the deformity of severe short limb accomfounied by the deformity of femoral anteversion.