Ilizarov技术与三关节融合术治疗创伤性马蹄足畸形的临床对比研究

发布时间：2018-10-16 09:35

【摘要】：目的对比Ilizarov技术与三关节融合术两种手术方式对治疗创伤性马蹄足畸形的临床疗效的研究。方法:2014年3月~2017年3月应用手术治疗创伤性马蹄足患者77例,应用Ilizarov技术手术治疗47例,应用三关节融合术手术治疗30例。采用AOFAS踝-后足评分系统评价患者术后畸形及功能恢复情况。结果:Ilizarov技术组平均跖屈畸形53.10°,三关节融合组平均跖屈畸形46.43°,这两组之间并没有统计学上的差异(P0.05)。术中出血量Ilizarov技术组(51.75±10.681)ml,三关节融合术组(101.76±6.580)ml,三关节融合术组出血量显著多于Ilizarov技术组(P0.01)。两组术式的手术时间、AOFAS踝-后足评分系统差异均无统计学上的差异(P0.05)。结论:对于软组织条件允许的患者,两种治疗方案均对创伤性马蹄足有明显的治疗效果,临床效果明确。对于软组织条件差的患者,不宜采用侵入性较大的手术,Ilizarov技术组术后疗效明显优于三关节融合术组。
[Abstract]:Objective to compare the clinical effects of Ilizarov and triple arthrodesis in the treatment of traumatic horseshoe foot deformity. Methods: from March 2014 to March 2017, 77 cases of traumatic horseshoe foot were treated by operation, 47 cases were treated by Ilizarov technique, and 30 cases were treated by triple arthrodesis. AOFAS ankle-hind foot scoring system was used to evaluate postoperative malformation and functional recovery. Results: the average metatarsal flexion deformity was 53.10 掳in Ilizarov group and 46.43 掳in triarticular fusion group. There was no statistical difference between the two groups (P0.05). The amount of intraoperative bleeding in Ilizarov group (51.75 卤10.681) ml, triple arthrodesis group (101.76 卤6.580) ml, triple arthrodesis group was significantly higher than that in Ilizarov technique group (P0.01). There was no significant difference in the operative time and AOFAS ankle-hind foot scoring system between the two groups (P0.05). Conclusion: for patients with soft tissue condition, both of the two treatments have obvious therapeutic effect on traumatic horseshoe foot, and the clinical effect is clear. For the patients with poor soft tissue condition, invasive surgery was not suitable. The curative effect of Ilizarov group was better than that of triple arthrodesis group.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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