Ilizarov技术治疗烧伤后马蹄内翻足畸形

Effectiveness of Ilizarov technique in treatment of clubfoot after burns

目的总结应用Ilizarov技术矫正烧伤后马蹄内翻足畸形的疗效。方法 2012年3月—2017年2月,采用Ilizarov技术治疗12例(17足)烧伤后马蹄内翻足畸形患者。男10例(14足),女2例(3足);年龄18~52岁,平均38岁。左足3例,右足4例;双足5例。根据秦氏马蹄内翻足畸形分度方法:Ⅰ度5足、Ⅱ度9足、Ⅲ度3足。结果患者马蹄内翻足畸形均获得完全矫正,可足底负重行走,无局部皮肤坏死、针道感染、肢端感觉麻木等并发症发生。患者均获随访,随访时间4个月~3年,平均10个月。末次随访时,根据国际马蹄足畸形研究学组(ICFSG)评分系统,获优7足、良7足、可3足,优良率82.4%。结论应用Ilizarov技术治疗马蹄内翻足畸形具有微创、安全、操作简便的优点,可获得较好疗效。

Objective To investigate the effectiveness of Ilizarov technique in treatment of the clubfoot after burns. Methods Between March 2012 and February 2017, 12 patients （17 feet） with clubfoot after burns were treated with Ilizarov technique. There were 10 males （14 feet） and 2 females （3 feets） with an average age of 38 years （range, 18- 52 years）. There were 3 cases of left foot, 4 cases of right foot, and 5 cases of both feet. According to the Qin＇s classification of clubfoot deformity, there were 5 feet of degree I, 9 feet of degree II, and 3 feet of degree IIk Results All clubfeet were completely corrected without local skin necrosis, needle tract infection, or acroanesthesia. All patients could walk with a heavy load. Pationts were followed up from 4 months to 3 years （mean, 10 months）. At last follow-up, according to the International Clubfoot Study Group （ICFSG） score, the effectiveness was rated as excellent in 7 feet, good in 7 feet, and fair in 3 feet, with the excellent and good rate of 82.4%. Conclusion Using Ilizarov technique can gradually correct the clubfoot deformity with the advantages of minimal invasion, safeness, and simpleness.