Data Analysis of 2 574 Cases with Lower Extremity Short Deformity Treated with Limb Lengthening Technique
1.Department of Pediatric Orthopedics，South China Hospital，Health Science Center
2.Department of Limb Orthopedics，The Second Hospital of Shanxi Medical
3.Department of Orthopedics，Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids
4.Department of Orthopedics，Chui Yangliu Hospital Affiliated to Tsinghua University
Abstract：Objective To summarize the data of the patients accepted limb lengthening surgeries in past 35 years and to discuss the distribution and changes of the patients accepted limb lengthening treatment.Methods We retrospectively reviewed 2 574 patients who accepted limb lengthening surgeries in Qin Sihe's orthopedic team between January 1983 and December 2017 The data of gender，age，gait，surgical area and pathogenesis were analyzed.Results 2 574 patients were included in this group.Gender distribution was 1 556 males(60.45%) and 1 018 females(39.55%).The age ranged from 3 years to 58 years with an average of (21.91±10.18) years.9 walking situations were recorded pre-operation，including mild claudication 1 402 cases(54.47%)and severe claudication 528 cases(20.51%).The lengthening sites including ilium，femur，tibia and fibula，calcaneum，metatarsus and tarsus.Over 54 etiologies including sequalae of poliomyelitis，trauma and et al.Conclusion Distribution of the patients revealed that，more male patients accepte limb lengthening compared with females.Patients in different life phase have different demands of treatment，more patients wish to improve their limb function compared with change the appearance and the surgical area varies over time.The data of the patients provide precious experiences for understanding the situation of the patients with limb discrepancy and the development of limb lengthening technique.
［1］夏和桃.实用骨外固定学［M］.北京：人民卫生出版社，2013：808-842.
［2］PaleyDror.Principles of deformity correction［M］.Heidelberg：Springer Verlag，2002：276-289.
［3］Codivilla A.On the means of lengthening，in the lower limbs，the muscles and tissues which are shortened through deformity.1904［J］.Clin Orthop Relat Res，1994(301)：4-9.
［4］Ilizarov GA.Clinical application of the tensionstress effect for limb lengthening［J］.Clin Orthop Relat Res，1990(250)：8-26.
［5］秦泗河，郑学建，蔡刚，等.跖骨延长术矫正足趾短缩畸形3例报告［J］.中国矫形外科杂志，2007，15(8)：617.
［6］韩大为，秦泗河.髂骨延长术的评价［J］.中国矫形外科杂志，2005，13(3)：27-29.
［7］Putti V.The operative lengthening of the femur.1921［J］.Clin Orthop Relat Res，1990(250)：4-7.
［8］UrbanR.Transosseous osteosynthesis-theoretical and clinical aspects of the regeneration and growth of tissue：Gavril A.IlizaroV，800 pages，Springer-Verlag Berlin，Heidelberg，New York，1992 ISBN3-540-53534-9［J］.Acta Orthopaedica Scandinavica，1992，63(2)：236-237.
［9］吴守义.胫骨延长术25例报告［J］.中华外科杂志，1981，19(1)：19-22.
［10］周仲安，李起鸿.胫骨下干骺端截骨延长术［J］.中华骨科杂志 1990，10(6)：423-425.
［11］秦泗河.下肢延长术的国内进展［J］.中华小儿外科杂志，1985，6(1)：42-44.
［12］秦泗河.Ilizarov技术概述［J］.中华骨科杂志，2006，26(9)：642-645.
［13］秦泗河，曲龙.骨外固定技术的发展史与骨科自然重建理念的形成［J］.中国矫形外科杂志，2009，17(16)：1262-1265.
［14］秦泗河，郭保逢，焦绍锋，等.应用骨外固定技术矫正四肢畸形8 113例数据分析［J］.中国修复重建外科杂志，2018，32(10)：1241-1248.
［15］张力，王伟，秦泗河.肢体延长结果对再生医学的启迪［J］.中国矫形外科杂志，2014，22(5)：445-448.
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