Ilizarov-Ponseti技术矫正马蹄内翻足畸形的临床研究

Clinical study of Ilizarov-Ponseti technique in the treatment of correcting clubfoot deformity

目的探讨Ilizarov-Ponseti技术矫正马蹄内翻足畸形的临床效果。方法回顾性抽取2015年1月至2020年12月郑州市骨科医院收治的马蹄内翻足畸形患者48例(62足)为研究对象,按照治疗方案分为观察组(24例,30足)和对照组(24例,32足)。对照组行常规矫正,未严格按照牵伸矫正程序执行,而观察组则参考Ilizarov-Ponseti程序及技术矫正。比较两组矫正时间、带架时间、并发症、随访半年的关节功能优良率。结果观察组带架时间长于对照组,但差异未见统计学意义(P>0.05)。观察组矫正时间、并发症发生率均少于对照组(t=2.804,χ^(2)=5.857;P均<0.05)。随访半年,观察组关节功能优良率高于对照组(χ^(2)=5.276,P<0.05)。结论马蹄内翻足畸形应用Ilizarov-Ponseti技术矫正治疗,虽然带架时间较长,但可缩短矫正时间,减少并发症,改善关节功能优良率。

Objective To investigate the clinical effect of Ilizarov-Ponseti technique on correcting clubfoot deformity.Methods A total of 48 cases(62 feet)of clubfoot deformity admitted to Zhengzhou Orthopedic Hospital from January 2015 to December 2020 were selected retrospectively as the study objects,and they were divided into observation group(24 cases,30 feet)and control group(24 cases,32 feet)according to the treatment plans.The control group underwent routine correction,but did not strictly follow the draft correction procedure,while the observation group followed the Ilizarov-Ponseti procedure and technical correction.The correction time,time with the frame,complication,and excellent and good rate of joint function during the half-year follow-up were compared between the two groups.Results The time with the frame in the observation group was longer than that in the control group,but there was no significant difference between the two group(P>0.05).The correction time and the incidence of complications in the observation group were less than those in the control group(t=2.804,χ^(2)=5.857;allP<0.05).After half a year of follow-up,the excellent and good rate of joint function in the observation group was higher than that in the control group(χ^(2)=5.276,P<0.05).Conclusions The application of the Ilizarov-Ponseti technique in correcting clubfoot deformity can shorten the correction time,reduce the incidence of complications,and improve the rate of good joints.