中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2013年
8期
762-765
,共4页
蒋启龙%李明%杜逸飞%曹光彪
蔣啟龍%李明%杜逸飛%曹光彪
장계룡%리명%두일비%조광표
伊利扎罗夫技术%马蹄足畸形%儿童
伊利扎囉伕技術%馬蹄足畸形%兒童
이리찰라부기술%마제족기형%인동
Ilizarov technique%Equinus deformity%Child
目的 探讨Ilizarov外固定架结合有限手术治疗儿童外伤性马蹄内翻足的方法和疗效. 方法 选择2006年1月-2012年6月收治的40例43足外伤性马蹄足患者,采用Ilizarov外固定架结合有限的软组织松解术治疗26例(28足)、截骨术治疗14例(15足),治疗前后分别按国际马蹄足研究组(international clubfoot study group,ICFSG)评分标准即功能(36分)、形态(12分)、影像(12分)三个方面评分. 结果 患者均获得随访,时间0.5-6年,ICFSG评分:优28足,良10足,中4足,差l足,优良率达88％,显示外伤性足畸形获得良好矫形,足负重行走功能良好,复发率低. 结论 传统开放手术治疗儿童外伤性马蹄足创伤大、疗效差,Ilizarov微创牵拉技术可弥补其缺点,应用Ilizarov外固定架结合有限手术在治疗儿童外伤性马蹄足中可取得良好疗效.
目的 探討Ilizarov外固定架結閤有限手術治療兒童外傷性馬蹄內翻足的方法和療效. 方法 選擇2006年1月-2012年6月收治的40例43足外傷性馬蹄足患者,採用Ilizarov外固定架結閤有限的軟組織鬆解術治療26例(28足)、截骨術治療14例(15足),治療前後分彆按國際馬蹄足研究組(international clubfoot study group,ICFSG)評分標準即功能(36分)、形態(12分)、影像(12分)三箇方麵評分. 結果 患者均穫得隨訪,時間0.5-6年,ICFSG評分:優28足,良10足,中4足,差l足,優良率達88％,顯示外傷性足畸形穫得良好矯形,足負重行走功能良好,複髮率低. 結論 傳統開放手術治療兒童外傷性馬蹄足創傷大、療效差,Ilizarov微創牽拉技術可瀰補其缺點,應用Ilizarov外固定架結閤有限手術在治療兒童外傷性馬蹄足中可取得良好療效.
목적 탐토Ilizarov외고정가결합유한수술치료인동외상성마제내번족적방법화료효. 방법 선택2006년1월-2012년6월수치적40례43족외상성마제족환자,채용Ilizarov외고정가결합유한적연조직송해술치료26례(28족)、절골술치료14례(15족),치료전후분별안국제마제족연구조(international clubfoot study group,ICFSG)평분표준즉공능(36분)、형태(12분)、영상(12분)삼개방면평분. 결과 환자균획득수방,시간0.5-6년,ICFSG평분:우28족,량10족,중4족,차l족,우량솔체88％,현시외상성족기형획득량호교형,족부중행주공능량호,복발솔저. 결론 전통개방수술치료인동외상성마제족창상대、료효차,Ilizarov미창견랍기술가미보기결점,응용Ilizarov외고정가결합유한수술재치료인동외상성마제족중가취득량호료효.
Objective To investigate the approaches and effect of Ilizarov external fixators combined with limited operation in treatment of posttraumatic clubfoot in children.Methods The study involved 40 cases (43 feet) of posttraumatic clubfoot treated with Ilizarov external fixators combined with limited operation including soft-tissue releases (26 cases,28 feet) or osteotomies (14 cases,15 feet)from January 2006 to June 2012.Scoring system of intemational clubfoot study group (ICFSG) including aspects of functional assessment (36 points),morphology (12 points) and radiological assessment (12points) were employed before and after surgery.Results All the cases were available to the follow-up of 0.5-6 years.ICFSG score was excellent in 28 feet,good in 10,fair in four and poor in one foot,with excellent-good rate of 88％.This suggested the good correction of posttraumatic clubfoot,satisfactory weight-bearing exercise and a low relapse rate.Conclusions Conservative open operation brings large trauma and poor results in treatment of posttraumatic clubfeet in children,while Ilizarov invasive distraction technique is probable to offset those weak points.Therefore,Ilizarov external fixators combined with limited operation is an effective treatment.
