应用伊里扎洛夫技术矫正下肢畸形
Correction of Lower Limb Deformities Using Ilizarov's Technique.
作者信息
Pathania V P, Sharma A K, Joshi G R, John John T
机构信息
Addl DGAFMS (E&S), Office of DGAFMS, AHQ 'M' Block, New Delhi.
Professor and Head (Orthopaedics), Armed Forces Medical College, Pune-40.
出版信息
Med J Armed Forces India. 2005 Oct;61(4):322-5. doi: 10.1016/S0377-1237(05)80054-1. Epub 2011 Jul 21.
BACKGROUND
India accounts for approximately 10 million orthopaedically handicapped children and adults with limb deformity. Ilizarov ring fixator could treat most of these deformities.
METHODS
Twenty cases of deformities of lower limb managed with Ilizarov technique during period between March 2001 and February 2003 were studied.
RESULTS
55% were in the age group of 11-30 years. Out of the 20 cases studied, 6 were congenital talipes equino varus, 8 were fixed flexion deformity of knee, 4 were equines deformity of the ankle and 2 were malunited fracture shaft of tibia.4 patients who had recurrence were operated for fixed flexion deformity of the knee. The main complication encountered was pin tract infection, which was seen in 15(75%) cases. In 16(80%) cases, the results were excellent with no recurrence of deformity and patients were able to walk independently. In 4 (20%) cases, recurrence was mild to moderate (10 to 20) but all of them were able to ambulate idependently and carry out their routine activities.
CONCLUSION
Ilizarov ring fixator is a superior compared to conventional methods for correction of deformities of lower limb.
背景
印度约有1000万患有肢体畸形的骨科残疾儿童和成人。伊里扎洛夫环形固定器可治疗这些畸形中的大多数。
方法
对2001年3月至2003年2月期间采用伊里扎洛夫技术治疗的20例下肢畸形病例进行研究。
结果
55%的患者年龄在11至30岁之间。在研究的20例病例中，6例为先天性马蹄内翻足，8例为膝关节固定性屈曲畸形，4例为踝关节马蹄畸形，2例为胫骨骨折不愈合。4例复发患者接受了膝关节固定性屈曲畸形手术。主要并发症是针道感染，15例（75%）出现该并发症。16例（80%）患者效果极佳，畸形无复发，患者能够独立行走。4例（20%）患者复发程度为轻度至中度（10至20度），但他们均能够独立行走并进行日常活动。
结论
与传统方法相比，伊里扎洛夫环形固定器在矫正下肢畸形方面更具优势。
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