中国临床医学2017，Vol.24Issue(5)：719-722,4.DOI:10.12025/j.issn.1008-6358.2017.20170299
Ilizarov外固定架联合有限矫形手术治疗青少年Ⅲ度马蹄内翻足畸形的临床疗效
Clinical efficacy of Ilizarov external fixator combined with finite orthopedic surgery in the treatment of adolescent Ⅲ degree talipes equinovarus deformity
摘要
Abstract
Objective:To compare the clinical efficacy of Ilizarov external fixator combined with finite orthopedic surgery and pure Ilizarov technique in the treatment of adolescent Ⅲ degree talipes equinovarus deformity.Methods:According to different treatment method,57 patients with Ⅲ degree talipes equinovarus deformity were divided into Ilizarov external fixator combined with finite orthopaedic surgery group (35 cases) and pure Ilizarov technique group (32 cases).After the operation,the patients received the physical examination,the therapeutic effect was evaluated according to the ICFSG rating criteria,and the incidence of complications such as postoperative infection,nerve vessel damage,and muscular imbalance were compared between the two groups.Results:The ICFSG scores of patients after therapy by Ilizarov external fixator combined with finite orthopedic surgery and pure Ilizarov technique were significantly lower than those before therapy(P＜0.05).The optimal rate of postoperative foot recovery in the combined surgery group was 91.89％,which was significantly higher than that in the pure Ilizarov technique group (75.00％,P＜0.05).The incidence rate of postoperative complications in the combined surgery group was 8.11％,which was lower than that in pure Ilizarov technique group (18.75％,P＜0.05).Conclusions:As compared with pure Ilizarov technique,the Ilizarov external fixator combined with finite orthopedic surgery can effectively improve the optimal rate of postoperative foot recovery for the adolescent patients with Ⅲ degree talipes equinovarus deformity,and significantly reduce the incidence of postoperative complications,worthy of clinical popularization and application.关键词
畸形足/Ilizarov技术/矫形外科手术/Ⅲ度马蹄内翻足畸形Key words
talipes/Ilizarov technology/orthopedic procedures/Ⅲ degree talipes equinovarus deformity分类
医药卫生引用本文复制引用
郭占豪,孙克明,王军建,刘方娜..Ilizarov外固定架联合有限矫形手术治疗青少年Ⅲ度马蹄内翻足畸形的临床疗效[J].中国临床医学,2017,24(5):719-722,4.
