Ilizarov外固定技术在复杂性踝关节融合术中的应用

Application of Ilizarov technique in salvage ankle arthrodesis

目的 介绍Ilizarov外固定技术在合并有严重的病理改变的踝关节融合手术和翻修融合手术中的应用经验及临床结果。 方法 总结分析 1999年 5月至 2 0 0 2年 1月在澳大利亚皇家布里斯本医院进行的 9例复杂性踝关节融合手术患者的病案记录和影象资料 ,并对患者进行随访评定 ,平均随访时间 18 1个月。 结果 9例患者均未出现血管神经损伤 ,伤口感染 ,伤口裂开不愈合等并发症 ,5例患者获得好结果 ,即关节融合稳定 ,残留轻度疼痛和功能限制 ,4例患者获得良结果 ,即关节融合稳定 ,残留中度疼痛 ,中度跛行或功能限制。 结论 Ilizarov外固定技术即细针环形外固定架是进行复杂的踝关节融合手术时有效的固定方法之一 ,包括合并感染的踝关节和翻修的踝关节融合。

ObjectiveTo introduce the application of Ilizarov technique in ankle fusion with serious pathology and failed ankle arthrodesis.MethodThe medical records and images of 9 cases of complex ankle fusion using Ilizarov external fixator were analyzed. Among the 9 cases, 6 received revisional ankle fusion, and 3 primary fusion for septic arthritis. All the cases were followed up for an average of 18.1 months.ResultsSix cases showed good results, i.e, no or mild pain, occasional limp and stable fusion and 3 cases fair results, i.e, moderate pain, persistent limp or occupational restriction, and stable fusion. ConclusionIlizarov technique is one of the effective method for the treatment of complex ankle arthrodesis.