McKee M D, Yoo D, Schemitsch E H
Division of Orthopaedics, St Michael's Hospital and the University of Toronto, Ontario, Canada.
J Bone Joint Surg Br. 1998 Mar;80(2):360-4. doi: 10.1302/0301-620x.80b2.8192.
Previous studies of the Ilizarov procedure have concentrated on musculoskeletal assessments rather than the opinions of patients. In a prospective trial of 25 consecutive patients, we evaluated the effect of Ilizarov reconstruction of post-traumatic deformity on general health status using the SF36 and Nottingham Health Profile (NHP). The patients had very low preoperative scores, which remained low during treatment and correction, but increased postoperatively. The mean overall SF36 score improved from 36 +/- 3 to 58 +/- 7 (p = 0.031) and the NHP score from 39 +/- 11 to 67 +/- 10 (p = 0.002). The improvements in scores were not limited to the physical components and were equal or better than the improvements reported for other orthopaedic procedures, including total joint arthroplasty. Ilizarov-type reconstruction of deformity of the lower limb not only restores bony configuration, but also produces a large improvement in the general health status of patients.
以往关于伊里扎洛夫手术的研究主要集中在肌肉骨骼评估上，而非患者的意见。在一项对25例连续患者的前瞻性试验中，我们使用SF36和诺丁汉健康量表（NHP）评估了伊里扎洛夫技术矫正创伤后畸形对总体健康状况的影响。患者术前得分很低，在治疗和矫正过程中得分仍很低，但术后有所提高。SF36总体平均得分从36±3提高到58±7（p = 0.031），NHP得分从39±11提高到67±10（p = 0.002）。得分的改善不仅限于身体方面，而且等同于或优于其他骨科手术（包括全关节置换术）所报告的改善。下肢畸形的伊里扎洛夫式重建不仅能恢复骨骼形态，还能使患者的总体健康状况得到大幅改善。
