六、术后治疗
常规抗生素治疗3～5 d。常规针孔护理。术后第3天即可开始延长，分次进行，早期每日可以延长1 cm，后期根据疼痛症状和耐受程度而定。一般每日可以达到2～5 mm。达到延长长度后保持2～3周。截骨愈合后白天拆除延长装置。晚上再行安装在肢体矫正后的位置，1个月后完全拆除外固定矫形器。
（夏和桃 杨华清）
参 考 文 献
[1] 秦泗河，夏和桃.世界骨外固定学术大会扫描[J].中国矫形外科杂志，2008,(15):1199-1200
[2] 杨华清，夏和桃，王坤正.不同类型延长器在胫骨延长术治疗双小腿不等长及身材矮小症的效果比较.中国临床康复，2006,(32): 23-26
[3] 秦泗河，夏和桃.新型Ilizarov膝关节牵伸器的研制和临床应用.中国矫形外科杂志，2004,(11):805-808
[4] 夏和桃，彭爱民.矮身材和侏儒症的双下肢内外结合延长术(附638例报告)中国矫形外科杂志，2005,(17):1285-1288
[5] Riemer BL,Butterfield SL, Diamond DL, et al. Acutemortality associated with injuries to the pelvic ring: therole of early patient mobilization and external fixation[J]. J Trauma, 1993,25:671-680
[6] Mohr VD, Erckhoff U, Haakr R, et al. External fixationof open femoral shaft fractures[J]. J Trauma, 1995, 38: 648-652
[7] Cugola L, Atzei A. Diaphyseal fractures of the forearm. Ortho-fix external fixation in trauma and orthopaedics[M], 2000:244-248
[8] Bosse MJ,Kellam JF. Orthopaedic management decisionsin multiple-trauma patient[M]. Skeletal Trauma, 2003, 133-146
[9] Tenny SM, Wiss DA. Open reduction and internal fixa-tion of tibial plafond fractures. Variable contributing topoor results and complications[J]. Clin Orthop, 1993,292:108-117(https://www.daowen.com)
[10] Bone LB, McNamara K, Shine B, et al. Mortality in multiple trauma patients with fracturesJournal of Trauma, 1994, 36:585-593
[11] Goesling T，Frenk A, Appenzeller A, et a1. LISS PLT: design, mechanical and biomechanical characteristics. Injury, 2003,34(sullp 1):11-15
[12] Nast-kolb D, Waydhas C, Gippner-Steppert C, et al. Indicators of the posttraumatic inflammatory response correlate with organ failure in patients with multiple injuriesJournal of Trauma, 1997,42:446-454
[13] Scalea TM, Boswell SA, Scott JD, et al. External fixationas a bridge to intramedullary nailing for patients with mul-tiple injuries and with femur fractures: Damage control or-thopaedics[J]. J Trauma, 2000,184-186
[14] Remiger AR. Mechanical properties of the pinless external fixator on human tibiae Injury, 1992,23:28-43
[15] Cordy J,Perren SM, Steinemananm SG. Stress protection due to plates：myth or reality? Injury, 2000,(Suppl):1-3
[16] Marsh JL, Smith ST, Do TT. External fixation and limited internal fixation for complex fractures of the tibial plateauJournal of Bone and Joint Surgery (British Volume),1995,77A:661-673
[17] Neumann HS, Brug E, Winckler S, et al. The surgicaltreatment of diaphysedal fractures of the humerus: stabili-zation with plate osteosynthesis,Hackethal nailing,locking nail and external fixation[J]Int J Orthop Trau-ma, 1993, 678-680
[18] Lavini F, Donadelli A, Pizoli A. Diaphyseal and metaph-yseal fractures of the humerus[M]Orthofix external fixa-tion in trauma and orthopaedics, 2000,286-298
[19] Pape HC, Aufm Kolk M, Paffrath T, et al. Primary intramedullary femur fixation in multiple trauma patients with associated lung contusion-a cause of posttraumatic ARDSJournal of Trauma, 1993,35:709
[20] Noer HH, Christensen N. Distal femoral fractures treated by external fixation with OrthofixUgesker Laeger, 1993,3(3):55-57