Ahmed Amin Abdel-Razek Youssef
Department of Orthopedic Surgery and Traumatology, Al-Hadra University Hospital, Alexandria University, Alexandria, Egypt.
Orthopedics. 2010 Dec 1;33(12):881. doi: 10.3928/01477447-20101021-25.
The aim of this article was to evaluate the results of relapsed club foot management using a simple frame construct of Ilizarov external fixator. Between 2003 and 2008, 18 feet in 13 patients with relapsed club feet were treated by Ilizarov external fixator. All patients underwent previous surgery (1-3 operations). Average patient age at the time of the operation was 5.5 years and the average follow-up period was 15.8 months. Midtarsal osteotomy was undertaken in 3 feet and soft tissue distraction was undertaken in 15 feet with no soft tissue release except in 3 feet that needed tendoachillis lengthening. The average time of fixator application was 4.5 months. Out of 18 feet, 2 (11.1%) were rated as excellent, 11 (61.1%) as good, 4 (22.2%) as fair, and 1 (5.6%) as poor. Excellent and good results (72.2%) were considered satisfactory, while fair and poor results (27.8%) were considered unsatisfactory. Thus, the Ilizarov technique gave satisfactory results in cases of relapsed club foot that were difficult to treat by conventional methods. Longer follow-up is needed to assess the achieved correction and to detect any recurrence of the deformity.
本文旨在评估使用伊里扎洛夫外固定器的简单框架结构治疗复发性马蹄内翻足的效果。2003年至2008年期间，13例复发性马蹄内翻足患者的18只脚接受了伊里扎洛夫外固定器治疗。所有患者均曾接受过手术（1 - 3次手术）。手术时患者的平均年龄为5.5岁，平均随访期为15.8个月。3只脚进行了中跗骨截骨术，15只脚进行了软组织牵张，除3只需要跟腱延长的脚外，均未进行软组织松解。固定器的平均应用时间为4.5个月。18只脚中，2只（11.1%）评定为优，11只（61.1%）为良，4只（22.2%）为可，1只（5.6%）为差。优和良的结果（72.2%）被认为是满意的，而可和差的结果（27.8%）被认为是不满意的。因此，对于传统方法难以治疗的复发性马蹄内翻足病例，伊里扎洛夫技术取得了满意的效果。需要更长时间的随访来评估所实现的矫正效果并检测畸形是否复发。
