[伊里扎洛夫技术治疗足踝创伤的临床进展]
[Clinical advances in Ilizarov technique for foot and ankle trauma].
作者信息
Cai Peng, Fang Xiang, Li Jia, Li Yaxing, Zhang Hui
机构信息
Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025 Aug 15;39(8):950-957. doi: 10.7507/1002-1892.202504124.
OBJECTIVE
To summarize the clinical application value and progress of Ilizarov technique in the treatment of foot and ankle trauma.
METHODS
The related literature of Ilizarov technique in the treatment of foot and ankle trauma was extensively reviewed, and the fundamental principles of Ilizarov technique and its clinical application in the treatment of complex foot and ankle trauma such as Pilon fractures, lateral malleolus defects, calcaneal fractures, and talus fractures were reviewed, and its efficacy and complications were analyzed.
RESULTS
The Ilizarov technique demonstrates significant advantages in treating open fractures, bone defects, and cases with poor soft tissue conditions, achieving high rates of bone defect repair, effective infection control, and improved functional scores. However, complications such as pin tract infections remain notable.
CONCLUSION
The Ilizarov technique is an effective approach for managing complex foot and ankle trauma, particularly in high-risk cases. Its dynamic fixation mechanism combines mechanical stability with biological repair. Future advancements should focus on integrating three-dimensional printing and smart sensor technologies to enhance precision.
目的
总结伊里扎洛夫技术在足踝创伤治疗中的临床应用价值及进展。
方法
广泛回顾伊里扎洛夫技术治疗足踝创伤的相关文献，阐述伊里扎洛夫技术的基本原理及其在治疗复杂足踝创伤（如Pilon骨折、外踝缺损、跟骨骨折和距骨骨折）中的临床应用，并分析其疗效及并发症。
结果
伊里扎洛夫技术在治疗开放性骨折、骨缺损及软组织条件差的病例中显示出显著优势，骨缺损修复率高，能有效控制感染，功能评分改善。然而，诸如针道感染等并发症仍较为突出。
结论
伊里扎洛夫技术是治疗复杂足踝创伤的有效方法，尤其适用于高危病例。其动态固定机制将机械稳定性与生物修复相结合。未来的进展应聚焦于整合三维打印和智能传感器技术以提高精准度。
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