以柔克刚,以慢胜快:Ilizarov技术的发展与实践

Win the Fast with Slow,Beat the Hard with Soft:the development and practice of Ilizarov techniques

人皆以外固定为简单、初级。实非如此。其涉及到的原理、操作、布局和内固定一样严谨和深奥,需要多年的学习曲线。Ilizarov技术是外固定皇冠上的明珠。发展到今天,可治疗一系列的骨科和非骨科的疾病。源起俄罗斯,其向东西半球流传的七十年间,风格渐异。走向东方的过程中变得轻巧活泼、刚柔相济、快慢结合,和中国哲学思想不谋而合。迄今为止,国内依然缺乏对Ilizarov外固定有着深刻理解和娴熟技术的医生。新时代下该技术需要更精准、客观、深入的传播。纲举则目张,理解其哲学思想,可直指人心、一览群山。

It seems that external fixation is a simple and junior technique.Actually it is not.The related principles,techniques and planning is as strict and demanding as those of the internal fixation.The commanding of external fixation requires a long learning curve which may be several years.Ilizarov techniques is the pearl of the external fixation crown.So far,this technique can treat a series of orthopaedic and non-orthpaedic diseases.It originated from Russia and have been spreading towards the East and West globe for 70 years with different styles.In the East,Ilizarov techniques turns to be the combination of light and handy,strength and gentleness,fast and slow,which are characteristic of Chinese philosophy.For now,China still requires a lot of surgeons who knows both the techniques and wisdom of Ilizarov external fixation.In the new era the technique needs precise,objective,and deep spread.Once the headrope of a fishing net is pulled out,all its meshes open.If we know the philosophy of a technique,we know the key and can easily handle the details.