Qin S H, Guo B F, Zheng X J, Jiao S F, Xia H T, Peng A M, Pan Q, Zang J C, Wang Z J
Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing 100176, China.
Zhonghua Wai Ke Za Zhi. 2017 Sep 1;55(9):678-683. doi: 10.3760/cma.j.issn.0529-5815.2017.09.008.
To discuss the clinical application and effects of domestic external fixator in the treatment of patients with malformations of limbs. A total of 7 289 patients with malformation of limbs who had been operated in Qin Sihe orthopedic surgery team from January 1989 to June 2016 were retrospective analyzed. The patients were treated with domestic external fixator, including 4 033 males and 3 256 females, aging from 2 to 82 years with a mean age of 23.4 years. There were 2 732 patients using Ilizarov external fixator, 4 713 patients using hybrid external fixator, 57 patients using monobrachial external fixator, 232 patients using Ilizarov external fixator and hybrid external fixator. The Ilizarov, hybrid and monobrachial external fixator were used in 67, 65 and 0 patients on the upper limbs and in 2 665, 4 616 and 57 patients on the lower limbs. There were 3 028 patients operated on the left limbs, 3 260 patients operated on the right limbs and 1 001 patients operated on the bilateral limbs. The top three types of diseases were sequelae of poliomyelitis, cerebral palsy and post-traumatic stress disorder peromely. Deformity types inclued talipes equinovarus, knee flexion deformity, cavus foot and so on. All the patients were followed up for a period of 2.5 months to 22.4 years, with an average follow-up time of 5.4 years. All of the external fixators were used for single once, and there was no substitute for external fixator quality problem. All the patients were completed surgery goal until removing external fixation except 1 patient gave up treatment and 1 removed the fixator because of metal allergy. The common complications included wire or pin infection and joint movement limitation and so on. The domestic external fixator developed and produced based on the characteristics of Chinese limb deformity disability. The domestic external fixator can be used to treat kinds of limb deformities with the advantages of practical, economical, adjustable, universal and portable. The domestic external fixator could meet the clinical demand for fixation of the osteotomy end of the limbs, the correction of the deformity, the repair of the defects and the limb lengthening.
探讨国产外固定器治疗肢体畸形患者的临床应用及效果。回顾性分析1989年1月至2016年6月在秦泗河矫形外科团队接受手术的7289例肢体畸形患者。患者采用国产外固定器治疗，其中男性4033例，女性3256例，年龄2至82岁，平均年龄23.4岁。使用Ilizarov外固定器2732例，混合外固定器4713例，单臂外固定器57例，Ilizarov外固定器与混合外固定器联合使用232例。Ilizarov、混合及单臂外固定器在上肢分别应用于67、65和0例患者，在下肢分别应用于2665、4616和57例患者。左上肢手术3028例，右上肢手术3260例，双侧上肢手术1001例。疾病类型前三位为小儿麻痹后遗症、脑瘫、创伤后马蹄内翻足。畸形类型包括马蹄内翻足、膝关节屈曲畸形、高弓足等。所有患者随访2.5个月至22.4年，平均随访时间5.4年。所有外固定器均一次性使用，未出现外固定器质量问题而更换的情况。除1例患者放弃治疗、1例因金属过敏拆除固定器外，所有患者均达到手术目的直至拆除外固定。常见并发症包括钢丝或钢针感染、关节活动受限等。国产外固定器是根据中国肢体畸形残疾特点研发生产的。国产外固定器可用于治疗各种肢体畸形，具有实用、经济、可调节、通用及便携等优点。国产外固定器能满足肢体截骨端固定、畸形矫正、缺损修复及肢体延长等临床需求。
