赵巍;任龙喜;梁喜斌;秦泗河;吴鸿飞;郑学建;石磊;郭保逢;

• 1:北京市垂杨柳医院矫形外科

摘要(Abstract)：

[目的]探讨Ilizarov技术联合跟腱经皮多点松解术治疗僵硬型马蹄足畸形的临床疗效。[方法]回顾性分析2007年1月~2012年6月,应用Ilizarv牵伸术治疗僵硬型马蹄足畸形患者32例,根据对跟腱的处理方式分为跟腱非处理组(A)和跟腱经皮多点松解组(B)。术前拍负重位足踝正侧位X线片,测量并记录反应马蹄程度的胫跟角、胫距角。应用Ilizarov外固定架牵伸矫形,术后3~5 d开始调节外架,记录外架矫形时间,拍X线片测量胫跟角、胫距角,应用Laaveg-Ponseti法进行疗效评价。[结果]A组与B组患者均完成马蹄足畸形的矫正,畸形矫正满意,术后应用Laaveg-Ponseti法进行疗效评价,A组与B组比较,P>0.05,差异无统计学意义;而A组与B组马蹄足畸形矫正所需时间的比较,P<0.05,差异有统计学意义,B组所需矫形时间短于A组。所有患者均未出现皮肤坏死、血管神经损伤等并发症。[结论]应用Ilizarov技术联合跟腱经皮多点松解术治疗僵硬型马蹄足是一种安全可靠、疗效确切的微创方法,并能有效缩短矫形周期,大大减少佩戴外固定架时间。

关键词(KeyWords)： Ilizarov技术;僵硬型马蹄足;经皮跟腱松解术

Abstract:

Keywords:

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作者(Author): 赵巍;任龙喜;梁喜斌;秦泗河;吴鸿飞;郑学建;石磊;郭保逢;

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参考文献(References)：

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