外固定架在先天马蹄内翻足截骨融合术中的应用  

Usage of extrafixator in triple arthrodesis for treatment of talips equino varus

作　　者：陈秋生[1] 朱立新[1] 钟菁[1] 陈霞[1] 童斌辉[1] 谢炳贤 

机构地区：[1]第一军医大学珠江医院骨科,广州510282

出　　处：《第一军医大学学报》1999年第3期251-253,共3页Journal of First Military Medical University

摘　　要：对于12岁以上先天马蹄内翻足患者的治疗，国内外传统的方法是足跑三关节截骨结合石膏固定融合术。但此法容易造成截骨面移动或不融合，不易观察足的血液循环，同时容易残留或复发畸形。自1978年以来，我科应用自行设计的外固定架，固定足跗三关节截骨融合术，克服了上述弊端，使病人的患足外观基本正常，恢复三点负重，达到足的稳定步态。共治疗旧例（23足），随访14例（17足），平均随访3年8个月，优良率94％。本方法操作简单、观察方便、效果好，值得推广。为此，本文就外固定架应用原理进行讨论。Triple arthrodesis plus plaster fixation is a routine method in the treatment of congenital talipes equino-yarns in childrenabove 12 years old. But this method has some defeats, such as some degree of deformity, recurrence and difficulty in observing theblood circulation of the foot. Since 1978, we have used external fixation devices designed by ourselves in triple arthrodesis fortreating this kind of patients, which can get rid of the shortages of the routine method. Our new method gave the patient a fairlynormal contour of the foot restoring the function of three-point weight bearing. 18 patients (23 feet) were treated, and 14 patients (I 7feet) were followed up for an average of 3.75 years. The resultS showed that 94 percent of the patients recovered excellently. Inconclusion, the new method makes the observation of blood circulation easier and the treatment of congenital talips yarns moreeffective. The mechanism of the method is also discussed.

关 键 词：外固定架 马蹄内翻足 截骨融合术 先天性 

分 类 号：R682.160.5[医药卫生—骨科学]