中国现代医学杂志2017，Vol.27Issue(10)：80-84,5.DOI:10.3969/j.issn.1005-8982.2017.10.016
Ilizarov外固定架联合跟骨截骨矫正痉挛性马蹄内翻足
Treatment of clubfoot varus with Ilizarov external fixation and osteotomy of calcaneus
摘要
Abstract
Objective To explore the effect of treatment of clubfoot varus with Ilizarov external fixation and calcaneal lateral column shortening osteotomy in patients with spastic cerebral palsy.Methods Thirty patients of spastic cerebral palsy with clubfoot (42 feet) treated in our hospital from January 2011 to June 2016 were selected.They were given rectangular osteotomy of the lateral column of calcaneus,Achilles tendon lengthening,anterior tibialis transfer and Ilizarov external fixation.After operation,the patients were followed up for observation of the morphological characteristics,the function of ankle joint and International Clubfoot Study Group (ICFSG) scores.Results All patients had successful surgeries.The operation time was (178.6 ± 42.1) min.The blood transfusion volume was (74.8 ± 26.3) ml.The postoperative hospital stay was (9.7 ± 1.5) d.The follow-up time was (23.5 ± 3.0) m.There was no serious postoperative complication.The foot dorsiflexion angles at removal of the Ilizarov external fixation and the end of the follow-up were greater than that before operation (P ＜ 0.05),but the ICFSG scores were lower than those before operation (P ＜ 0.05).Conclusions Rectangular osteotomy of lateral column of calcaneus is brilliant in the treatment of clubfoot in patients with spastic cerebral palsy.关键词
脑瘫/痉挛/马蹄内翻足/跟骨截骨术/儿童Key words
cerebral palsy/spasm/clubfoot/calcaneal osteotomy/children分类
医药卫生引用本文复制引用
董震,王林涛,齐鹏,李友,齐克飞,李帅,王标..Ilizarov外固定架联合跟骨截骨矫正痉挛性马蹄内翻足[J].中国现代医学杂志,2017,27(10):80-84,5.基金项目
山东省医药卫生科技发展计划项目(No:2015WSA02011) （No:2015WSA02011）
