Qin Sihe, Guo Baofeng, Zheng Xuejian, Shi Lei, Wang Yilan, Zhao Jun
Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P. R. China.
Qinsihe Orthopedics Institute, Beijing, 101100, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022 Aug 15;36(8):1011-1014. doi: 10.7507/1002-1892.202204098.
To summarize and analyze the characteristics and treatment strategies of post-traumatic lower limb deformity based on QIN Sihe Orthopaedic Surgery Database.
A clinical data of 837 patients with post-traumatic lower limb deformities treated by orthopaedic surgery between May 25, 1978 and December 31, 2020 in QIN Sihe Orthopaedic Surgery Database were analyzed retrospectively. The information of the patient's gender, age at the time of surgery, region of origin, cause of trauma, deformity side, orthopedic surgery related information (operation time, location, type, and fixation method after operation) were summarized and analyzed.
All patients came from 32 provinces, municipalities, autonomous regions, and Taiwan in China. Among them, 551 cases (65.83%) were male and 286 cases (34.17%) were female. The age of the patients at the time of surgery was 3-84 years old, with an average of 27.6 years old, and the most patients were 16-45 years old (559 cases, 66.78%). The main cause of trauma was traffic accident injury (639 cases, 76.34%). The deformity mainly involved unilateral limbs, including 394 cases (47.07%) on the left side and 376 cases (44.92%) on the right side. The most patients were admitted between 2008 and 2017, accounting for 53.05% (444/837). All patients were operated on one or more sites (1 048 sites), among which ankle and toe surgery were the most, accounting for 48.38% (507/1 048). The patients received 1204 surgeries including tendon lengthening and soft tissue contracture release, . Orthopedic surgery combined with bone external fixation was used in 624 cases (467 cases of Ilizarov external fixation and 157 cases of combined external fixation), and plaster or brace external fixation was used in 213 cases.
Post-traumatic lower extremity deformity patients have a large proportion of males, with a wide geographical distribution, involving various parts of the lower extremities, and most commonly in the foot and ankle. Orthopedic surgery combined with bone external fixation (Ilizarov technique) is the main methods for correction and functional reconstruction of post-traumatic lower limb deformity.
基于秦泗河矫形外科数据库总结分析创伤后下肢畸形的特点及治疗策略。
回顾性分析秦泗河矫形外科数据库中1978年5月25日至2020年12月31日期间接受矫形手术治疗的837例创伤后下肢畸形患者的临床资料。总结分析患者的性别、手术时年龄、籍贯、创伤原因、畸形侧别、矫形外科相关信息（手术时间、部位、类型及术后固定方式）。
所有患者来自中国32个省、直辖市、自治区及台湾地区。其中，男性551例（65.83%），女性286例（34.17%）。患者手术时年龄为3 - 84岁，平均27.6岁，以16 - 45岁患者居多（559例，66.78%）。创伤主要原因是交通事故伤（639例，76.34%）。畸形主要累及单侧肢体，左侧394例（47.07%），右侧376例（44.92%）。多数患者于2008年至2017年入院，占53.05%（444/837）。所有患者均在一个或多个部位接受手术（共1048个部位），其中踝关节及足趾手术最多，占48.38%（507/1048）。患者接受了包括肌腱延长及软组织挛缩松解在内的1204例手术。采用矫形外科联合骨外固定治疗624例（其中467例采用伊里扎洛夫外固定，157例采用联合外固定），采用石膏或支具外固定213例。
创伤后下肢畸形患者男性比例大，地域分布广，累及下肢各部位，最常见于足踝部。矫形外科联合骨外固定（伊里扎洛夫技术）是创伤后下肢畸形矫正及功能重建的主要方法。
