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伊利扎洛夫外固定术治疗小儿严重足踝畸形

Ilizarov external fixation in the correction of severe pediatric foot and ankle deformities.

作者信息

Dhar Sunil

机构信息

Department of Trauma and Orthopaedics, Nottingham University Hospitals, Queen's Medical Centre Campus, Nottingham, NG7 2UH, UK.

出版信息

Foot Ankle Clin. 2010 Jun;15(2):265-85. doi: 10.1016/j.fcl.2010.03.001.

DOI:10.1016/j.fcl.2010.03.001
PMID:20534355
Abstract

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.

摘要

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。

相似文献

1
Ilizarov external fixation in the correction of severe pediatric foot and ankle deformities.伊利扎洛夫外固定术治疗小儿严重足踝畸形
Foot Ankle Clin. 2010 Jun;15(2):265-85. doi: 10.1016/j.fcl.2010.03.001.
2
[Combined treatment of crural shortening and calcaneus-malleolar conflict using the Ilizarov distractor].[使用伊利扎洛夫牵张器联合治疗小腿缩短与跟骨-踝关节冲突]
Chir Narzadow Ruchu Ortop Pol. 1994;59(3):239-45.
3
The Ilizarov technique in ankle fusion.踝关节融合术中的伊里扎洛夫技术。
Clin Orthop Relat Res. 1994 Jun(303):217-25.
4
Correction of complex equino cavo varus foot deformity in skeletally mature patients by Ilizarov external fixation versus staged external-internal fixation.应用伊里扎洛夫外固定架与分期外固定-内固定治疗骨骼成熟患者的复杂马蹄内翻足畸形
Foot Ankle Surg. 2011 Dec;17(4):287-93. doi: 10.1016/j.fas.2010.12.001. Epub 2011 Jan 13.
5
Correction of severe residual clubfoot deformity in adolescents with the Ilizarov technique.
Foot Ankle Clin. 2004 Sep;9(3):571-82, ix. doi: 10.1016/j.fcl.2004.05.011.
6
Functional outcome of salvage of residual and recurrent deformities of clubfoot with Ilizarov technique.采用伊利扎洛夫技术挽救马蹄内翻足残留及复发性畸形的功能结果。
Foot Ankle Surg. 2009;15(1):3-6. doi: 10.1016/j.fas.2008.04.007. Epub 2008 Jun 27.
7
The Ilizarov technique in ankle fusion: a preliminary report.伊利扎洛夫技术用于踝关节融合:初步报告。
Bull Hosp Jt Dis. 1993;53(4):17-21.
8
Management of the neuromuscular foot deformities with the Ilizarov method.采用伊里扎洛夫方法治疗神经肌肉性足部畸形。
Foot Ankle Int. 2002 Feb;23(2):135-41. doi: 10.1177/107110070202300210.
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Arthrodesis of the ankle joint by Ilizarov external fixator in patients with infection or poor bone stock.采用伊利扎洛夫外固定架踝关节融合术治疗感染或骨质较差的患者。
Foot Ankle Surg. 2010 Jun;16(2):96-100. doi: 10.1016/j.fas.2009.06.004. Epub 2009 Jul 24.
10
Predictors of postoperative complications of Ilizarov external ring fixators in the foot and ankle.足部和踝关节Ilizarov外固定架术后并发症的预测因素
J Foot Ankle Surg. 2007 Sep-Oct;46(5):372-5. doi: 10.1053/j.jfas.2007.06.004.

引用本文的文献

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[External fixation combined with microsurgical techniques for repairing complex foot and ankle wounds in children].[外固定结合显微外科技术修复儿童复杂足踝部创面]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025 Aug 15;39(8):1025-1029. doi: 10.7507/1002-1892.202505023.
2
Complex rigid foot deformity correction with hexapod external fixator system.六足外固定架系统治疗复杂僵硬性足畸形
Int Orthop. 2023 Nov;47(11):2773-2780. doi: 10.1007/s00264-023-05897-5. Epub 2023 Jul 18.
3
Complex foot deformities associated with lower limb deformities: a new therapeutic strategy for simultaneous correction using Ilizarov procedure together with osteotomy and soft tissue release.
与下肢畸形相关的复杂足畸形:应用伊里扎洛夫技术联合截骨和软组织松解术同时矫正的新治疗策略。
J Orthop Surg Res. 2020 Oct 23;15(1):492. doi: 10.1186/s13018-020-02021-w.
4
Configuration design and correction ability evaluation of a novel external fixator for foot and ankle deformity treated by U osteotomy.新型 U 型截骨术治疗足踝畸形外固定器的构型设计与矫正能力评估。
Med Biol Eng Comput. 2020 Mar;58(3):541-558. doi: 10.1007/s11517-019-02103-w. Epub 2020 Jan 8.