Department of Orthopaedic Surgery, West China Hospital, Sichuan University, No. 37, Guoxue Avenue, Chengdu, 610041, Sichuan Province, China.
Disaster Medicine Center, Sichuan University, Chengdu, 610041, Sichuan Province, China.
J Orthop Surg Res. 2020 Oct 23;15(1):492. doi: 10.1186/s13018-020-02021-w.
The aim of the current study is to introduce a new therapeutic strategy for simultaneous correction of complex foot deformities (CFD) and the associated lower limb deformities (LLD) by using Ilizarov technique with osteotomy and soft tissue procedure and to report its early clinical results.
A retrospective review of CFD associated with LLD simultaneous correction utilizing the Ilizarov procedure together with osteotomy and soft tissue balance from 2015 to 2019 was conducted.
Thirty-two patients were followed for an average of 42.8 months. The mean external fixation time (EFT) was 6.5 months. The mean healing index (HI) was 1.7 months/cm. At the time of fixator removal, plantigrade feet were achieved in all patient and lower limb deformities were corrected. No recurrence of the deformities occurred. The mean LLRS AIM score was improved from 7.5 to 0.3. At the final follow-up, the ASAMI-Paley score was graded as excellent in all limbs in the aspect of bone results, and functional results were defined as excellent in 29 (90.6%) limbs and good in 3 (9.4%) limbs. The mean modified Dimeglio score was significantly improved from 7.2 to 1.3. No deep infection of the osteotomy site or nonunion was noted in the current study.
The therapeutic strategy by using the Ilizarov procedure together with osteotomy and soft tissue balance is a safe and effective way to simultaneously correct CFD and LLD.
Level IV, retrospective case series.
本研究旨在介绍一种新的治疗策略，即通过使用伊里扎洛夫技术进行截骨和软组织手术来同时矫正复杂足畸形（CFD）和相关的下肢畸形（LLD），并报告其早期临床结果。
对 2015 年至 2019 年期间采用伊里扎洛夫术联合截骨和软组织平衡矫正 CFD 合并 LLD 的患者进行回顾性研究。
32 例患者平均随访 42.8 个月。平均外固定时间（EFT）为 6.5 个月。平均愈合指数（HI）为 1.7 个月/cm。在拆除固定器时，所有患者均获得了跖行足，下肢畸形得到了矫正。无畸形复发。下肢畸形矫正评估系统（LLRS）AIM 评分从 7.5 分改善至 0.3 分。末次随访时，所有肢体的骨骼结果均为优秀，功能结果为优 29 例（90.6%），良 3 例（9.4%）。改良 Dimeglio 评分从 7.2 分显著改善至 1.3 分。本研究中未发生截骨部位深部感染或骨不连。
使用伊里扎洛夫术联合截骨和软组织平衡的治疗策略是同时矫正 CFD 和 LLD 的一种安全有效的方法。
IV 级，回顾性病例系列。
