Huang S C
Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Acta Orthop Scand. 1996 Oct;67(5):443-9. doi: 10.3109/17453679608996665.
We used Ilizarov frames in 26 patients for correction of severe contractures in 10 knees and 19 ankles. All patients had good initial correction. 2 patients developed posterior subluxation of the knee and 2 patients developed anterior subluxation of the ankle. At a minimum of 3 years' follow-up, 11 contractures had recurred. All patients except 1 had persistent restriction of motion. Considering the final position, improvement of motion and complications, we obtained an excellent result in 1 patient, good in 13, fair in 11, and a poor result in 1. Better results were obtained in patients with posttraumatic contractures than with other etiologies. There were also better results in correcting equinus contracture of the ankle than in knee flexion contracture.
我们对26例患者使用了伊里扎洛夫支架，用于矫正10个膝关节和19个踝关节的严重挛缩。所有患者初始矫正效果良好。2例患者出现膝关节后脱位，2例患者出现踝关节前脱位。在至少3年的随访中，11例挛缩复发。除1例患者外，所有患者均存在持续的活动受限。综合最终位置、活动改善情况及并发症，我们获得1例优、13例良、11例可及1例差的结果。创伤后挛缩患者的结果优于其他病因导致的挛缩患者。矫正踝关节马蹄内翻挛缩的效果也优于膝关节屈曲挛缩。
