目的探讨Ilizarov技术联合跗骨V形截骨在创伤性马蹄内翻足中的应用价值。方法选取2015年6月~2016年6月我院收治的70例创伤性马蹄内翻足患者作为研究对象,按照随机数字表法将患者分为研究组和对照组,每组35例,对照组进行传统手术治疗,研...目的探讨Ilizarov技术联合跗骨V形截骨在创伤性马蹄内翻足中的应用价值。方法选取2015年6月~2016年6月我院收治的70例创伤性马蹄内翻足患者作为研究对象,按照随机数字表法将患者分为研究组和对照组,每组35例,对照组进行传统手术治疗,研究组使用Ilizarov技术联合跗骨V形截骨治疗。比较两组末次随访时国际马蹄足研究组(international clubfoot study group,ICFSG)评分、Kofoed踝关节评分、并发症发生情况和复发情况的差异。结果拆除固定架后6个月,对两组进行ICFSG评分测评,研究组在形态学、功能、影像学、总分等各方面评分均低于对照组,组间比较差异具有统计学意义(P<0.05);研究组各项Kofoed踝关节评分及总分均比对照组高(P<0.05)。两组并发症发生率分别为5.7%、31.4%,研究组并发症发生率低于对照组,组间比较具有统计学差异(P<0.05)。研究组无复发者,对照组复发率为5.7%,组间复发率比较无统计学差异(P>0.05)。结论 Ilizarov技术联合跗骨V形截骨治疗创伤性马蹄内翻足效果好,能够有效改善踝关节功能,减轻患者疼痛,且并发症少,无复发,值得临床推广使用。展开更多
Objective:To evaluate the effectiveness of Ponseti method in the treatment of congenital talipes equinovarus (CTE) in children older than 6 months. Methods:Ponseti method was used to treat 157 cases (227 feet) of CTE ...Objective:To evaluate the effectiveness of Ponseti method in the treatment of congenital talipes equinovarus (CTE) in children older than 6 months. Methods:Ponseti method was used to treat 157 cases (227 feet) of CTE in children older than 6 months. All cases were classified by age and by the degree of deformity severity. The age group classification was:(1)ⅠGroup (6 months to 12 months),113 feet in 81 cases; (2)Ⅱ Group (1 to 3 years old),78 feet in 52 cases; (3) Ⅲ Group (>3 years old),36 feet in 24 cases. The degree of deformity of CTE was evaluated with Pirani scoring system. The cases were classified into three groups according to the deformity degree:(1) Mild Group (scoring 1-2.5),85 feet in 56 cases; (2) Moderate Group (scoring 3-4.5),104 feet in 71 cases; (3) Severe Group (scoring 5-6),38 feet in 30 cases. A Pirani score of 0-0.5 is regarded as an excellent result. For each group,we evaluated the number of casts used,the percentage of excellent result according to the Pirani score,and the percentage of percutaneous achillotenotomy. The result was compared among different groups. Results:The overall percentage of excellent result among all cases was 96.92%. Among the age groups,the percentage of excellence was not statistically different betweenⅠGroup andⅡGroup (P>0.05). The percentage of excellence was lower in the Ⅲ group than the other groups (P>0.01). Among the groups classified by deformity degree,the percentage of excellence was the lowest in severe group (P<0.05),and the difference between the mild group and moderate group was not statistically different (P>0.05). The number of casts used among different groups were different (P<0.01). Among different groups,the percentages of percutaneous achillotenotomy were significantly different (P<0.01). 209 feet in 148 cases were followed up for average time duration of 3 years and 11 months. Relapse was observed in 40 feet in 29 cases. The percentages of relapse were not statistically different among different groups (P>0.05). Conclusion:Using Ponseti method to treat CTE for children older than 6 months can achieve excellent results in this study.展开更多
文摘目的探讨Ilizarov技术联合跗骨V形截骨在创伤性马蹄内翻足中的应用价值。方法选取2015年6月~2016年6月我院收治的70例创伤性马蹄内翻足患者作为研究对象,按照随机数字表法将患者分为研究组和对照组,每组35例,对照组进行传统手术治疗,研究组使用Ilizarov技术联合跗骨V形截骨治疗。比较两组末次随访时国际马蹄足研究组(international clubfoot study group,ICFSG)评分、Kofoed踝关节评分、并发症发生情况和复发情况的差异。结果拆除固定架后6个月,对两组进行ICFSG评分测评,研究组在形态学、功能、影像学、总分等各方面评分均低于对照组,组间比较差异具有统计学意义(P<0.05);研究组各项Kofoed踝关节评分及总分均比对照组高(P<0.05)。两组并发症发生率分别为5.7%、31.4%,研究组并发症发生率低于对照组,组间比较具有统计学差异(P<0.05)。研究组无复发者,对照组复发率为5.7%,组间复发率比较无统计学差异(P>0.05)。结论 Ilizarov技术联合跗骨V形截骨治疗创伤性马蹄内翻足效果好,能够有效改善踝关节功能,减轻患者疼痛,且并发症少,无复发,值得临床推广使用。
文摘Objective:To evaluate the effectiveness of Ponseti method in the treatment of congenital talipes equinovarus (CTE) in children older than 6 months. Methods:Ponseti method was used to treat 157 cases (227 feet) of CTE in children older than 6 months. All cases were classified by age and by the degree of deformity severity. The age group classification was:(1)ⅠGroup (6 months to 12 months),113 feet in 81 cases; (2)Ⅱ Group (1 to 3 years old),78 feet in 52 cases; (3) Ⅲ Group (>3 years old),36 feet in 24 cases. The degree of deformity of CTE was evaluated with Pirani scoring system. The cases were classified into three groups according to the deformity degree:(1) Mild Group (scoring 1-2.5),85 feet in 56 cases; (2) Moderate Group (scoring 3-4.5),104 feet in 71 cases; (3) Severe Group (scoring 5-6),38 feet in 30 cases. A Pirani score of 0-0.5 is regarded as an excellent result. For each group,we evaluated the number of casts used,the percentage of excellent result according to the Pirani score,and the percentage of percutaneous achillotenotomy. The result was compared among different groups. Results:The overall percentage of excellent result among all cases was 96.92%. Among the age groups,the percentage of excellence was not statistically different betweenⅠGroup andⅡGroup (P>0.05). The percentage of excellence was lower in the Ⅲ group than the other groups (P>0.01). Among the groups classified by deformity degree,the percentage of excellence was the lowest in severe group (P<0.05),and the difference between the mild group and moderate group was not statistically different (P>0.05). The number of casts used among different groups were different (P<0.01). Among different groups,the percentages of percutaneous achillotenotomy were significantly different (P<0.01). 209 feet in 148 cases were followed up for average time duration of 3 years and 11 months. Relapse was observed in 40 feet in 29 cases. The percentages of relapse were not statistically different among different groups (P>0.05). Conclusion:Using Ponseti method to treat CTE for children older than 6 months can achieve excellent results in this study.
