【摘要】 探讨Ilizarov技术矫正僵硬性马蹄内翻足畸形的方法和效果。[方法]作者在2000年3月~2005年3月间,使用Ilizarov技术矫正9例11足重度僵硬性马蹄内翻足畸形,将连接于胫骨、跟骨、跖骨的外固定环互相连接、组合成复杂的三维外固定架,通过逐渐调整外固定架矫正畸形,从而使患足达到或接近正常足的外形和功能。[结果]按Garceau标准评定疗效,优6足,良4足,差1足。[结论]Ilizarov外固定架三维矫正马蹄内翻足畸形效果确实,尤其适用于大年龄儿童之僵硬、复发或难治性马蹄内翻足,有一定的临床应用价值。
【关键词】 马蹄足畸形 僵硬型 外固定器 Ilizarov技术
Abstract:[Objective]To study the results of Ilizarov technique in treatment of the severe rigid talipes equinovarus deformity.[Method]The Ilizarov technique was used in 9 patients(11 feet)with the severe rigid talipes equinovarus deformity,in which one patient with syringomyelia,and the orthers with congenital club foot.[Result]Prospective goals of correction were made in all the cases.The results were assessed by Garceau criterion.For 9 patients(11 feet),6 feets achieved excellent result,4 feets good and 1 foot poor results respectively.[Conclusion]Ilizarov technique in treatment of the severe rigid talipes equinovarus deformity achieves a good clinical result.
Key words:talipes equinovarus deformity/rigid; external fixators; Ilizarov technique
儿童僵硬型马蹄内翻足的治疗较为困难,一次性手术很难完全矫正足、踝部的三维畸形,且在手术治疗过程中容易引起皮肤坏死、继发感染、术后瘢痕挛缩、畸形……
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