Dhar Sunil
Department of Trauma and Orthopaedics, Nottingham University Hospitals, Queen's Medical Centre Campus, Nottingham, NG7 2UH, UK.
Foot Ankle Clin. 2010 Jun;15(2):265-85. doi: 10.1016/j.fcl.2010.03.001.
Most of the evidence to date on the Ilizarov method in the management of complex foot and ankle deformities in children is based on expert opinion and retrospective case series. Often the technique is used as a salvage option where conventional techniques are inappropriate or have failed. The decision to use the Ilizarov external fixator to an alternative technique depends on several issues: complexity of the pathology, patient compliance, surgeon skills, and the capacity of the institution to manage patients with multidisciplinary requirements. Nevertheless, the Ilizarov method has proved to be a valuable tool for the satisfactory management of many previously unresolved clinical problems. With greater experience and further developments, the exact place of this powerful treatment modality will become clearer and even more successful.
迄今为止,关于伊里扎洛夫方法治疗儿童复杂足踝畸形的大多数证据都基于专家意见和回顾性病例系列。通常,该技术被用作传统技术不适用或失败时的挽救选择。决定使用伊里扎洛夫外固定器而非其他技术取决于几个因素:病理情况的复杂性、患者的依从性、外科医生的技能以及机构管理有多学科需求患者的能力。尽管如此,伊里扎洛夫方法已被证明是解决许多先前未解决临床问题的有价值工具。随着经验的增加和进一步发展,这种强大治疗方式的确切地位将变得更加清晰,也会更加成功。