Ilizarov微创牵拉技术治疗创伤性马蹄足畸形  

Study on treatment of traumatic talipes equinus with the Ilizarov mini-invasive distraction techenique

作　　者：骆苏红[1] 栾波[1] 陈艺新[1] 张云强[1] 王积辉[1] 刘伟[1] 

机构地区：[1]贵阳市第四人民医院骨科,550002

出　　处：《贵州医药》2011年第1期14-16,共3页Guizhou Medical Journal

基　　金：贵阳市人才创新创业资金资助[201003]

摘　　要：目的探讨应用Ilizarov微创牵拉技术治疗创伤性马蹄足畸形的疗效。方法 2009年1月至2010年2月,应用Ilizarov微创牵拉技术治疗创伤性马蹄足患者6例,其中男5例,女1例;年龄6～39岁,平均21岁。遵循Ilizarov穿针固定的基本原则,术中将组装好的Ilizarov外固定器安装在患侧小腿和足部的相应位置。术后5～7 d开始以0.5～1 mm/d,4次/d的速度旋转踝关节前、后方的调节螺纹杆,使垂足畸形逐渐被牵拉达到或超过中立位后停止牵拉,并继续用牵拉器固定2个月以巩固疗效。结果 6例患者均获得随访,随访时间5～16个月,平均10.5个月,畸形足均获得满意矫正,能全足持重行走,功能良好,未发生针道感染、皮肤坏死、神经、血管损伤等并发症。结论微创牵拉技术治疗创伤性马蹄足畸形,具有安全、微创、疗效满意的优点,值得推广应用。Objective To explore the outcome of treatment of traumatic talipes equinus with the Ilizarov mini-invasive distraction techenique.Methods From January 2009 to February 2010,Ilizarove mini-invasive distr-action technique was used for treatment of traumatic talipes equinusin 6 patients which were 5 male and 1 female and aged from 6 years to 39 years with an average of 21 years.According to the principles of Ilizarov,Ilizarov external fixators were placed in relative position of the foot and leg during operati...

关 键 词：ILIZAROV技术 马蹄足畸形 外固定器 

分 类 号：R658.3[医药卫生—外科学]