Brunner R, Hefti F, Tgetgel J D
Department of Children's Orthopaedics, University of Basle, Kinderspital, Switzerland.
J Pediatr Orthop B. 1997 Jul;6(3):192-7. doi: 10.1097/01202412-199707000-00007.
The purpose of this study was to investigate the efficacy of an external fixator (Ilizarov apparatus) for the treatment of severe joint contractures in patients with arthrogryposis multiplex congenita. Thirteen knees and 16 feet were treated in 13 patients at an average age of 11.9 years. The knee flexion contractures were corrected from 38.9 degrees preoperatively to a mean of 6.5 degrees postoperatively and to 17.3 degrees at follow-up (34 months). In the foot deformities, the equinus position was corrected from 29.7 degrees to 7.8 degrees on average. This external fixator is an efficient tool for correction of deformities in arthrogryposis.
本研究的目的是探讨外固定器（伊里扎洛夫器械）治疗多发性先天性关节挛缩症患者严重关节挛缩的疗效。13例患者平均年龄11.9岁，共治疗了13个膝关节和16只足。膝关节屈曲挛缩术前平均为38.9度，术后平均矫正至6.5度，随访（34个月）时为17.3度。足部畸形方面，马蹄足畸形平均从29.7度矫正至7.8度。这种外固定器是矫正关节挛缩症畸形的有效工具。
