OPERATIVE LENGTHENING OF THE LOWER-EXTREMITY AND ASSOCIATED PSYCHOLOGICAL-ASPECTS - THE CHILDRENS-HOSPITAL EXPERIENCE

被引:34
作者
HRUTKAY, JM [1 ]
EILERT, RE [1 ]
机构
[1] CHILDRENS HOSP,DEPT ORTHOPAED SURG,1056 E 19TH AVE,DENVER,CO 80218
关键词
Limb lengthening; Psychological effects;
D O I
10.1097/01241398-199005000-00015
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Twenty-two patients underwent 23 femoral and tibial lengthenings by the Wagner technique from 1977 to 1987. Average length gained was 5.8 and 5.2 cm, respectively. Long hospitalization in addition to multiple operative procedures and a high complication rate created a significant psychological impact. Fourteen of 22 patients experienced psychological problems, primarily adjustment disorders, all of which resolved without long-term sequelae. Parental/family and nursing staff support were identified as the most important during the lengthening process. Advances in limb lengthening techniques may lessen the overall impact of this procedure, but preoperative psychological preparation is important. © 1990 Raven Press, Ltd., New York.
引用
收藏
页码:373 / 377
页数:5
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