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自1986年以来治疗肢体短缩病人21例,男9例,女12例,肢体短缩2~9cm不等。平均获下肢延长4.8cm,愈合指数34天。文中着重强调了延长部位的选择,下肢以胫骨近端效果最好。术后肢端静止时间为5天,延长速度1~1.5mm/d可获成功。上肢延长,桡骨宜在远端,尺骨宜在近端,静止时间应延长至术后2周,速度应慢于1mm/d。如此将会减少骨不连的发生。针对延长中的并发症应以预防为主,术后早期功能锻练。将会减轻肌肉挛缩的发生,倾斜安置外固定架可以防止成角,同时强调了术中切除1cm长腓骨的必要性。
Since 1986, 21 cases of short-limb patients have been treated, including 9 males and 12 females, with limb shortening ranging from 2 to 9 cm. The average length of the lower extremity was 4.8cm, and the healing index was 34 days. The article emphasizes the selection of the extension site, and the lower extremity is best with the proximal humerus. Postoperative limb rest time was 5 days, and the extension rate was 1 to 1.5 mm/d. The extension of the upper limb, the sacrum should be at the distal end, and the ulna should be proximal. The rest time should be extended to 2 weeks after operation, and the speed should be slower than 1 mm/d. This will reduce the incidence of nonunion. The prevention of prolonged complications should be based on prevention and early postoperative functional exercise. It will reduce the occurrence of muscle contractures. Tilt placement of the external fixator can prevent angulation. At the same time, it emphasizes the necessity of resection of the 1cm long iliac bone.