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胫骨延长术的临床疗效与并发症(附45例报告)

The Clinical Effect and Complication of Ti bial Lengthening(A Report of 45 Cases)

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【作者】 周其荫刘兴成刘瑾候启迪

【Author】 Zhou Qi—yin,et at.Department of Orthopedics,the Frist People Hospitai,Tianshui,Guansu,741000.

【机构】 甘肃省天水市第一人民医院矫形外科天水市第二医院骨科 741000741000741020甘肃省天水红山试验机厂职工医院741000

【摘要】 本文对肢短3.5~9.0cm 之儿麻后遗症45例进行胫骨延长术后6~42个月的观察,认为胫骨延长术是矫正短肢畸形的积极可靠方法。延长4.0~8.0cm,平均6.14cm,一般在3~5个月愈合后拆除延长器。其中以骨骺牵伸延长疗效好,并发症少,愈合较快。胫骨近端或远端干骺端截骨延长术在大年龄肢短者不失为弥补方法,但应掌握各自的指征。

【Abstract】 Forty—five cases of discrepancy of limbs due to sequelae of poliomyelitis were followed up 6~42 months after tibial lingthening.Average lingthening was 6. 14cm(from 4 to 8cm).There were bone u- nion within 3~5 months.Effect of epiphy —siolysis lengthening was excellent with minor complication and quickly union.Tib- iai proximal metaphyseal osteotomy length- ening is also a valuable method in older pa- tients and indications should be mastered in- dividually.

【关键词】 胫骨延长术并发症
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