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[伊利扎罗夫外置固定技术与有限的骨切除术相结合,用于创伤后马变形]

Tianyi Wu¹, Yixuan Chen¹, Guangyi Li¹

¹Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, P. R. China.

Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery

|August 19, 2025

概括

这项研究表明,Ilizarov外部固定与有限的骨切除术相结合,是创伤后equinovarus变形的有效治疗方法. 该技术可在最小的并发症下显著改善脚功能和缓解疼痛.

科学领域:

整形外科手术整形外科手术
生物力学生物力学
创伤学创伤学创伤学

背景情况:

在骨科手术中,创伤后形形是一个重大挑战.
带有equinovarus变形的结脚关节需要有效的纠正策略.

研究的目的:

评估Ilizarov外置固定结合有限骨切除术的有效性,以纠正创伤后equinovarus变形.
评估与这种联合手术方法相关的功能结果和并发症率.

主要方法:

追溯分析29名患有创伤后equinovarus变形的患者.
伊利扎罗夫外置固定与最少侵入性骨切除术和软组织释放 (阿基里斯肌延长).
通过外部固定装置的调整逐渐纠正多平面变形,然后在联合后进行支架.

主要成果:

在所有患者中成功地实现了形纠正,平均在40.7天内恢复了植物级脚的功能.
美国整形足与脚学会 (AOFAS) 的脚后脚得分 (42.7至65.7) 和视觉模拟尺度 (VAS) 疼痛得分 (4.5至2.5) 显著改善.
高水平的优秀和良好的功能结果 (93.1%) 与最小的并发症,包括表面管感染 (10.3%).

结论:

伊利扎罗夫外置固定结合有限的骨切除术是一种有效的方法来纠正创伤后equinovarus变形.
这种技术保留了软组织的完整性,并实现了与开放手术相比较的对齐稳定性和融合结果.
它代表了一种可行的治疗选择,用于复杂的脚和脚变形,并具有可管理的并发症.

关键词:

这是Equinovarus变形病毒.伊扎罗夫的外部固定技术.有限的骨质切除术 (osteotomy)软组织释放软组织释放

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