[{"data":1,"prerenderedAt":418},["ShallowReactive",2],{"settings-zh":3,"page-\u002Fzh\u002Ftui3-bu4-de-ji3-he2-xing2-zhuang4":309},{"lat":4,"lng":5,"_uid":6,"logo":7,"navi":13,"email":92,"image":96,"phone":102,"footer":103,"images":176,"heading":187,"same_as":188,"component":194,"subheading":195,"postal_code":196,"opening_hours":197,"street_address":198,"address_country":199,"address_locality":200,"loaded":21,"language":201,"folders":202,"dropdowns":209},"48.1471","11.5581","40814d17-2129-4d9f-8ba7-7df9c391ad2f",{"id":8,"alt":9,"name":9,"focus":9,"title":9,"filename":10,"copyright":9,"fieldtype":11,"is_external_url":12},6409448,"","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F800x800\u002F352eb6ae80\u002Flogo.png","asset",false,[14,30,42,54,67,80],{"_uid":15,"link":16,"name":27,"component":29},"b85d4ae7-020e-4b26-a646-aa8d08338394",{"id":17,"url":9,"linktype":18,"fieldtype":19,"cached_url":20,"prep":21,"story":22},"7fdab58a-4480-41cf-9f9e-34b94d05466a","story","multilink","\u002Fzh\u002Fspezialgebiete\u002F",true,{"name":23,"id":24,"uuid":17,"slug":25,"url":26,"translated_name":27,"full_slug":28,"_stopResolving":21},"Spezialgebiete",6493408,"spezialgebiete","spezialgebiete\u002F","专业领域","zh\u002Fzhi4-liao2-fan4-wei2\u002F","Nav Item",{"_uid":31,"link":32,"name":41,"component":29},"45de9da2-4fe2-4fb5-a7e1-9ef7b45e33d8",{"id":33,"url":9,"anchor":9,"linktype":18,"fieldtype":19,"cached_url":34,"prep":21,"story":35},"18119b58-1485-4a56-bded-b37508fa6eeb","\u002Fzh\u002Fbeingeometrie",{"name":36,"id":37,"uuid":33,"slug":38,"url":38,"translated_name":39,"full_slug":40,"_stopResolving":21},"Beingeometrie",36914543,"beingeometrie","腿部的几何形状","zh\u002Ftui3-bu4-de-ji3-he2-xing2-zhuang4","腿的几何形状",{"_uid":43,"link":44,"name":52,"component":29},"1db621bb-5161-4419-96aa-da88d4451fdc",{"id":45,"url":46,"linktype":18,"fieldtype":19,"cached_url":47,"prep":21,"story":48},"ec9f4dcc-63cd-4c72-bc9d-fc48d19eba62","\u002Fbehandlung","\u002Fzh\u002Fbehandlung",{"name":49,"id":50,"uuid":45,"slug":51,"url":51,"translated_name":52,"full_slug":53,"_stopResolving":21},"Behandlung",6001894,"behandlung","治疗","zh\u002Fzhi4-liao2",{"_uid":55,"link":56,"name":65,"component":29},"da3d0cf0-2f4a-4f47-b465-640a6b42c6ff",{"id":57,"url":58,"linktype":18,"fieldtype":19,"cached_url":59,"prep":21,"story":60},"4910f188-cc05-4ffc-9fa5-119e856f9fec","\u002Fteam","\u002Fzh\u002Fteam\u002F",{"name":61,"id":62,"uuid":57,"slug":63,"url":64,"translated_name":65,"full_slug":66,"_stopResolving":21},"Team",6493362,"team","team\u002F","团队","zh\u002Ftuan2-dui4\u002F",{"_uid":68,"link":69,"name":78,"component":29},"16f72062-4baa-4643-a000-d5b182ac05bf",{"id":70,"url":71,"linktype":18,"fieldtype":19,"cached_url":72,"prep":21,"story":73},"cc0f3d6d-f74e-4d53-aaa2-bbce34c09311","\u002Fcases","\u002Fzh\u002Ffallbeispiele\u002F",{"name":74,"id":75,"uuid":70,"slug":76,"url":77,"translated_name":78,"full_slug":79,"_stopResolving":21},"Fallbeispiele",6498312,"fallbeispiele","fallbeispiele\u002F","案例","zh\u002Fan4-li4-yan2-jiu1\u002F",{"_uid":81,"link":82,"name":90,"component":29},"4d76084a-f3f6-41d9-a639-66aa6eaf5302",{"id":83,"url":84,"linktype":18,"fieldtype":19,"cached_url":85,"prep":21,"story":86},"622ede13-3299-4820-95c4-cec2982d5f5c","\u002Ffaq","\u002Fzh\u002Ffaq",{"name":87,"id":88,"uuid":83,"slug":89,"url":89,"translated_name":90,"full_slug":91,"_stopResolving":21},"FAQ",6451096,"faq","常见问题","zh\u002Fchang2-jian4-wen4-ti2",["Email",93],[94,95],"info","zem-germany.de",{"id":97,"alt":98,"name":9,"focus":99,"title":9,"source":9,"filename":100,"copyright":9,"fieldtype":11,"meta_data":101},934982,"Flur im Zentrum",null,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2773x3566\u002Fb3beef8a17\u002Fflur.jpg",{"alt":98,"title":9,"source":9,"copyright":9},"+49 89 54348960",[104,115,126,138,151,164],{"_uid":105,"link":106,"name":114,"component":29},"bde77a10-4525-4fa9-8285-452ac58e1548",{"id":107,"url":9,"linktype":18,"fieldtype":19,"cached_url":108,"prep":21,"story":109},"16964b97-8eec-4519-bfa4-eb3368fd5d82","\u002Fzh\u002Fimpressum",{"name":110,"id":111,"uuid":107,"slug":112,"url":112,"full_slug":113,"_stopResolving":21},"Impressum",781962,"impressum","zh\u002Fimpressum","企业资料",{"_uid":116,"link":117,"name":125,"component":29},"ca6b6f4c-75b7-435f-9971-91e8355f2f1e",{"id":118,"url":9,"linktype":18,"fieldtype":19,"cached_url":119,"prep":21,"story":120},"71a9b1b7-6190-465d-8035-d929793a3a70","\u002Fzh\u002Fdatenschutz",{"name":121,"id":122,"uuid":118,"slug":123,"url":123,"full_slug":124,"_stopResolving":21},"Datenschutz",781963,"datenschutz","zh\u002Fdatenschutz","隐私",{"_uid":127,"link":128,"name":136,"component":29},"1ef306fa-d755-48b5-b0a8-7d2951fd25c4",{"id":129,"url":9,"_uid":130,"linktype":18,"fieldtype":19,"cached_url":131,"prep":21,"story":132},"7fc8cd58-68cd-4fba-8e06-5f4589faa86d","497dbf9c-0994-4f18-89df-c53b7cb1a649","\u002Fzh\u002Fkontakt",{"name":133,"id":134,"uuid":129,"slug":135,"url":135,"translated_name":136,"full_slug":137,"_stopResolving":21},"Kontakt",37880753,"kontakt","联系我们","zh\u002Flian2-xi4-wo3-men",{"_uid":139,"link":140,"name":150,"component":29},"42eeb8ed-6cdd-48cf-a0ec-78467652c911",{"id":141,"url":9,"_uid":142,"linktype":18,"fieldtype":19,"cached_url":143,"prep":21,"story":144},"9c3ba027-d804-4057-b8d9-dd45c8c3f035","ea9c05f2-3f47-4629-a40b-9ec1b61dde8b","\u002Fzh\u002Fgeschichte",{"name":145,"id":146,"uuid":141,"slug":147,"url":147,"translated_name":148,"full_slug":149,"_stopResolving":21},"Geschichte",32747353,"geschichte","FITBONE的历史","zh\u002Ffitbone-de-li4-shi3","历史",{"_uid":152,"link":153,"name":163,"component":29},"1e03130b-4250-4034-ac01-5ee21d1f7db8",{"id":154,"url":9,"_uid":155,"linktype":18,"fieldtype":19,"cached_url":156,"prep":21,"story":157},"4c758b57-d400-4ced-9320-245d54ebc406","444e268e-a71e-420f-8e14-a3bd9f51ebef","\u002Fzh\u002Fforschung",{"name":158,"id":159,"uuid":154,"slug":160,"url":160,"translated_name":161,"full_slug":162,"_stopResolving":21},"Forschung",56394256,"forschung","研究与教学","zh\u002Fyan2-jiu1-yu3-jiao4-xue2","研究",{"_uid":165,"link":166,"name":175,"component":29},"8c0df063-3c1f-43ea-9040-82abaef4b0c1",{"id":167,"url":9,"_uid":168,"anchor":9,"linktype":18,"fieldtype":19,"cached_url":169,"prep":21,"story":170},"0d674ca1-38ac-4e6a-accb-1215c2fd3d4a","c84f2061-a016-4bb2-a1b2-80921bece439","\u002Fzh\u002Fjobs",{"name":171,"id":172,"uuid":167,"slug":173,"url":173,"full_slug":174,"_stopResolving":21},"Jobs",56368502,"jobs","zh\u002Fjobs","工作机会",[177,178,181,184],{"id":97,"alt":9,"name":9,"focus":9,"title":9,"filename":100,"copyright":9,"fieldtype":11},{"id":179,"alt":9,"name":9,"focus":9,"title":9,"filename":180,"copyright":9,"fieldtype":11},959784,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F4288x2848\u002F56ab06bd58\u002Fx-ray.jpg",{"id":182,"alt":9,"name":9,"focus":9,"title":9,"filename":183,"copyright":9,"fieldtype":11},1926265,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F4288x2848\u002F7cfb299507\u002Fbuilding.jpg",{"id":185,"alt":9,"name":9,"focus":9,"title":9,"filename":186,"copyright":9,"fieldtype":11},1772373,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2707x4113\u002F8694374747\u002Frpm.jpg","Zentrum für Extremitätenchirurgie München",[189],{"url":190,"_uid":191,"name":192,"component":193},"https:\u002F\u002Fmaps.google.com\u002F?cid=2153122653560075982","9030b39d-7077-4b69-8135-ad46b9ef104e","Google Business Profile","Profile","Settings","Prof. Dr. Dr. med. R. Baumgart","80335","Mo-Fr 08:00-16:00","Nymphenburger Str. 1","DE","München","zh",{"780693":203,"781552":205,"5185868":207},{"name":27,"path":204},"\u002Fzh\u002Fzhi4-liao2-fan4-wei2",{"name":65,"path":206},"\u002Fzh\u002Ftuan2-dui4",{"name":78,"path":208},"\u002Fzh\u002Fan4-li4-yan2-jiu1",{"7fdab58a-4480-41cf-9f9e-34b94d05466a":210,"cc0f3d6d-f74e-4d53-aaa2-bbce34c09311":253,"4910f188-cc05-4ffc-9fa5-119e856f9fec":302},[211,214,217,220,223,226,229,232,235,238,241,244,247,250],{"name":212,"path":213},"腿部延长术","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Ftui3-yan2-zhang3-shu4",{"name":215,"path":216},"身材矮小患者的腿部延长术","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fdui4-zhu1-ru2-zheng4-huan4-zhe3-de-tui3-bu4-yan2-zhang3-shu4",{"name":218,"path":219},"手臂延长术","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fyan2-zhang3-shou3-bi4",{"name":221,"path":222},"美容性腿部延长术","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fmei3-rong2-xing4-tui3-bu4-yan2-zhang3-shu4",{"name":224,"path":225},"手指和脚趾延长术","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fshou3-zhi3-he2-jiao3-zhi3-de-yan2-zhang3",{"name":227,"path":228},"锁骨延长术","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fsuo3-gu3-yan2-zhang3-shu4",{"name":230,"path":231},"轴线和扭转矫正","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fzhou2-xian4-he2-niu3-zhuan3-jiao3-zheng4",{"name":233,"path":234},"生长引导","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fsheng1-zhang3-diao4-jie2",{"name":236,"path":237},"骨骼感染","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fgu3-ge2-gan3-ran3",{"name":239,"path":240},"腿部缩短","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Ftui3-bu4-suo1-duan3",{"name":242,"path":243},"骨缺损","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fgu3-zhi4-que1-sun3",{"name":245,"path":246},"生长假体","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fsheng1-zhang3-jia3-ti3",{"name":248,"path":249},"残肢延长术","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fcan2-zhi1-yan2-zhang3",{"name":251,"path":252},"髋关节远端移位术","\u002Fzh\u002Fzhi4-liao2-fan4-wei2\u002Fkuan1-bu4-qian1-yin3-shu4",[254,257,260,263,266,269,272,275,278,281,284,287,290,292,295,297,300],{"name":255,"path":256},"先天性腿部过短","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fxian1-tian1-xing4-tui3-bu4-guo4-duan3",{"name":258,"path":259},"先天性腿部过短#2","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fxian1-tian1-xing4-tui3-bu4-guo4-duan3-2",{"name":261,"path":262},"事故导致的腿部过短 #3","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fxian1-tian1-xing4-tui3-bu4-duan3-suo1-3",{"name":264,"path":265},"先天性腿部短缩 #4","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fxian1-tian1-xing4-tui3-bu4-duan3-suo1-4",{"name":267,"path":268},"事故后腿部变短","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fshi4-gu4-hou4-tui3-bu4-bian4-duan3",{"name":270,"path":271},"事故导致的腿部过短 #2","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fshi4-gu4-dao3-zhi4-de-tui3-bu4-guo4-duan3-2",{"name":273,"path":274},"因疾病导致的腿部过短","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fyin1-ji2-bing4-dao3-zhi4-de-tui3-bu4-guo4-duan3",{"name":276,"path":277},"先天性手臂过短","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fxian1-tian1-xing4-shou3-bi4-guo4-duan3",{"name":279,"path":280},"软骨发育不全","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fzhu1-ru2-zheng4",{"name":282,"path":283},"软骨发育低下","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fruan3-gu3-fa1-yu4-bu4-quan2",{"name":285,"path":286},"髋关节脱位","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fkuan1-guan1-jie2-tuo1-wei4",{"name":288,"path":289},"骨肉瘤(骨肿瘤)","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fgu3-rou4-liu2-gu3-zhong3-liu2",{"name":221,"path":291},"\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fmei3-rong2-xing4-zhi1-ti3-yan2-zhang3-shu4",{"name":293,"path":294},"脚趾延长术","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fjiao3-zhi3-yan2-zhang3-shu4",{"name":233,"path":296},"\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fsheng1-zhang3-diao4-jie2",{"name":298,"path":299},"布朗特氏病","\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fbu4-lang3-te4-shi4-bing4",{"name":242,"path":301},"\u002Fzh\u002Fan4-li4-yan2-jiu1\u002Fgu3-zhi4-que1-sun3",[303,306],{"name":304,"path":305},"Prof. Dr. Dr. med.R. Baumgart","\u002Fzh\u002Ftuan2-dui4\u002Fprof-dr-dr-med-r-baumgart",{"name":307,"path":308},"Prof. Dr. med. U. Lenze","\u002Fzh\u002Ftuan2-dui4\u002Fpd-dr-med-u-lenze",{"name":36,"created_at":310,"published_at":311,"updated_at":312,"id":37,"uuid":33,"content":313,"slug":38,"full_slug":40,"sort_by_date":99,"position":393,"tag_list":394,"is_startpage":12,"parent_id":395,"meta_data":99,"group_id":396,"first_published_at":397,"release_id":99,"lang":201,"path":99,"alternates":398,"default_full_slug":38,"translated_slugs":399},"2021-02-09T14:25:04.324Z","2026-10-07T13:34:06.642Z","2026-10-07T13:34:06.664Z",{"_uid":314,"body":315,"image":388,"intro":9,"component":389,"meta_title":39,"text_style":390,"component_style":391,"meta_description":392,"hide_contact_form":12},"ca719f33-d56b-4cff-b25f-641c7d8ff8b4",[316,322,327,333,342,347,352,360,365,370,375,383],{"_uid":317,"text":318,"component":319,"text_style":320,"component_style":321},"d564801a-cfea-47a7-8a97-5dfa8e399321","# 腿部的几何形状\n\n腿对于我们的活动能力是不可或缺的。它们使我们能够站立，行走，奔跑，跳跃，优雅的行动或负担重物，即使是在极其不平坦的地形上。此外，两条腿等长，能保证骨盆的水平线和脊柱的垂直线正常。为了使我们的腿能够实现这些和其他功能，必须满足众多的先决条件。","Text",[],[],{"_uid":323,"text":324,"component":319,"text_style":325,"component_style":326},"1a3fd5cf-aded-4ede-9904-c9a796ceb8b4","## 三个重要参数决定了腿部的几何形状",[],[],{"_uid":328,"text":329,"component":319,"text_style":330,"component_style":331},"87a487a3-1834-46ad-acd5-7a73192352c0","腿长是由大腿长度，小腿长度和脚部的骨骼的高度决定的。关于脊柱的垂直度，还包括可能的骨盆不对称。由于所产生的腿长也取决于大腿和小腿之间的角度位置，关节角度和关节不稳定性也有着影响，因此，在正确扭转的站立姿势和两腿同等负荷下进行测量是正确记录腿部几何形状的一个不可或缺的先决条件。\n\n负荷轴（负荷矢量）从髋关节的中心到踝关节的中心，并通过膝关节的中心。如果负载轴跑到膝关节中心的内侧（内侧），这种畸形被称为O型腿；如果它跑到外侧（外侧），则被称为X型腿。在这两种情况下，膝关节的一侧负荷过重，特别是当体重过大和相应的半月板受损时。结果，软骨萎缩，导致畸形更加严重，如果不纠正畸形，最终将不得不用假体取代关节。\n\n旋转与绕关节纵轴的活动性有关，而扭转则描述骨骼的扭曲。只要在正常运动中达到中间位置（零交叉），扭转的偏差通常不会被患者注意到。只有当偏差大到不能再达到正常的中间位置时，或者在极端的体育活动中运动范围大大增加时，才会在关节中产生约束力和随之而来的剪切力，从而行动有阻碍，进而导致过早疲劳。在扭转偏差较大的情况下，关节边缘的撞击会造成很大痛苦，并加重关节的磨损。",[],[332],"lg:col-span-8",{"_uid":334,"image":335,"title":9,"component":338,"copyright":9,"image_style":339,"component_style":340},"95119bdf-d7cf-4c26-a2d2-b3ad8aa51880",{"id":336,"alt":99,"name":9,"focus":99,"title":99,"filename":337,"copyright":99,"fieldtype":11},2080669,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1000x963\u002F38869f2e0e\u002Fcircles_de.png","Image",[],[341],"lg:col-span-4",{"_uid":343,"text":344,"component":319,"text_style":345,"component_style":346},"13f385cf-847e-4bff-8da3-485f1df6c3c7","## 站立位下肢全长X光片--黄金标准",[],[],{"_uid":348,"text":349,"component":319,"text_style":350,"component_style":351},"560de9cc-7124-402a-8f06-47f4e6e87732","测量腿部几何形状的基础是站立时拍摄的特殊X光片（站立位下肢全长X光片 - Long Standing Radiographs - LSR），其中双腿、骨盆和脊柱下部都从正面成像。拍摄这些图像的技术有很多，但我们更倾向于使用被称为 \"单次曝光技术\"。在这种技术中，X射线束只被触发一次，它同时对两条腿、骨盆和下脊柱进行成像。分段成像的摇臂系统或沿腿部移动的扫描仪，如果病人在拍摄过程中移动，就会产生伪影，这在儿童中尤其常见。2020年初，富士在ZEM-Germany中心安装了德国第一台全腿探测器，以低辐射剂量提供出色的图像质量。该系统还有更多的功能：一个可数字控制的电动腿长平衡仪，可对腿长差异进行毫米级的精确补偿，双脚下的集成秤可实现重量平衡，因此在触发图像时，两条腿实际上是同等负荷的。利用这项新技术，还可以拍摄侧位全腿X光片。所有LSR测量参数在图像中都有记录和验证，因此可用于进一步治疗规划。",[],[332],{"_uid":353,"image":354,"title":357,"component":338,"copyright":9,"image_style":358,"component_style":359},"ce4883b2-9006-4e27-9579-1455808cfeda",{"id":355,"alt":9,"name":9,"focus":99,"title":9,"filename":356,"copyright":9,"fieldtype":11},1973288,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2734x3828\u002Fd0eddb4167\u002Frontgengestell.jpg","ZEM-Germany使用富士探测器进行X射线诊断",[],[341],{"_uid":361,"text":362,"component":319,"text_style":363,"component_style":364},"a1ed08af-5629-4160-84ea-065232d61451","## 正确的计划才是最重要的\n\n每个矫正手术之前都要进行详细的手术计划，这是在计算机上用特殊软件进行的。ZEM-Germany开发的反向规划方法（RPM）适用于髓内牵引钉。其原理是，从 \"理想 \"的最终结果出发，反向进行各个矫正步骤，考虑到所有的参数，如不可改变的骨结构、植入物的特殊功能以及术后延长过程中骨的几何变化。在困难的情况下，可以事先比较不同的解决方案的变体，以找到最佳效果。最终，RPM为外科医生提供了一个在手术室里实施的视觉指南，以便在治疗结束时获得尽可能理想的结果。与外固定器相比，这一程序是至关重要的，因为使用髓内牵引钉时，除轴向延长外，术后不可能再进行任何矫正，因此，治疗结果基本上取决于手术中计划的正确实施。",[],[],{"_uid":366,"text":367,"component":319,"text_style":368,"component_style":369},"4ef03d6d-a3a4-4bea-af13-a6aac32bdb37","## 髓内牵引钉种类有很大的区别",[],[],{"_uid":371,"text":372,"component":319,"text_style":373,"component_style":374},"b888b9f7-c01d-4d56-99c2-59830a387709","了解了腿部的几何结构，很快就会发现，单纯的腿部短小而没有任何畸形的情况是很罕见的。甚至有一些关节畸形从外表根本看不出来。因此，总是有必要首先进行全面的分析诊断，把所有参数都考虑在矫正中，然后才开始进行治疗计划，来保证最终结果的正确。即使实际上 \"只有 \"短小，也不能简单地忽视其他几何参数。髓内牵引钉沿着解剖学上的腿部轴线延长骨头，这可能导致大腿（股骨）的下肢机械轴向外侧移位（X型腿）。因此，最初纯粹的腿短可能由于延长而最终出现畸形，导致必须在以后的进一步手术中予以纠正。这一点常常被忽视，特别是在美容性腿部延长术中。\n\n髓内牵引钉在技术上很复杂，需要特殊的手术技术。有一些植入体仅以延长为目的，而不考虑腿部的几何形状。FITBONE从一开始就被设计为一种多方向的矫正性植入体，只要正确运用，就可望产生精确的效果。",[],[332],{"_uid":376,"image":377,"title":380,"component":338,"copyright":9,"image_style":381,"component_style":382},"b5a6ff3f-0219-4b7f-a897-00eb54edcb8a",{"id":378,"alt":9,"name":9,"focus":99,"title":9,"filename":379,"copyright":9,"fieldtype":11},2422361,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F6590x9300\u002F58ef4d4495\u002Ffitbone.png","带遥控器的FITBONE",[],[341],{"_uid":384,"text":385,"component":319,"text_style":386,"component_style":387},"fe8465d5-b878-49b0-8917-4ed8b64d498c","## 决定性的一步--手术\n\n在ZEM-Germany，为每个病人精心制定的手术计划被直接传送到手术室，这样外科医生就可以对治疗的各个阶段有一个完整的了解。在1:1的比例上，整个腿部几何形状的实际情况和尺寸、术后的即时目标状态、延长术结束时的理想最终状态，以及所有重要的几何参数，都显示在大型显示器上。这种氛围为外科医生创造了最好的条件，为病人创造了最大的安全性，从而真正实现了预期的治疗效果。在进行手术时，ZEM-Germany也有一些特有技术。为了尽量减少切口和软组织损伤，我们开发了一种特别温和的手术技术。获得专利的套管系统（Tube-II系统）可以通过定好的手术入口精确地打开骨骼，根据手术计划给出目标路径，并以最佳方式保护骨骼和软组织。为了确保手术过程中的最佳定位，ZEM-Germany使用了一个高效的网格板（双线网格），以此可以控制几乎所有几何参数。这对于植入髓内牵引钉来说尤其必要。由于精确的计划和可预测的手术步骤，最大限度地将软组织损伤降到最低。最长的皮肤切口通常只有约2厘米，愈合后在皮肤皱褶中几乎不可见。\n\n因此，全面的诊断，精确有效的手术计划、最佳植入体的选择以及由经验丰富的专业外科医生掌握的温和且微创的手术技术，对于手术矫正治疗的成功具有决定性意义，从而最终实现最完美的腿部几何美学和功能。",[],[],{"id":336,"alt":9,"name":9,"focus":9,"title":9,"filename":337,"copyright":9,"fieldtype":11,"is_external_url":12},"Page",[],[],"腿长、腿轴和骨骼的扭转度决定了腿的几何形状。因此，决不应单独看待腿部延长的问题。",30,[],0,"5cb89235-e4ab-45cd-b7d4-7d9d638ba67f","2021-05-17T15:59:52.000Z",[],[400,404,408,412,416],{"path":401,"name":402,"lang":403,"published":21},"leg-geometry","Leg geometry","en",{"path":405,"name":406,"lang":407,"published":21},"geometria-de-las-piernas","Geometría de las piernas (estética y función)","es",{"path":409,"name":410,"lang":411,"published":21},"handasat-alsaaq","هندسة الساق","ar",{"path":413,"name":414,"lang":415,"published":21},"geometriya-nog","Геометрия ног","ru",{"path":417,"name":39,"lang":201,"published":21},"tui3-bu4-de-ji3-he2-xing2-zhuang4",1793077578638]