两种外固定行胫骨延长术后足下垂病例的分析

发布时间：2019-01-21 07:33

【摘要】：目的:探讨应用Ilizarov外固定架与Orthofix外固定架行胫截骨延长术后出现足下垂的病例进行分析。方法:回顾性分析2012年7月至2014年5月由新疆大学第一附属医院显微修复外科采用Ilizarov外固定架和Orthofix外固定架行胫骨截骨延长术的148例患者的临床资料其中包含手术方式、术后功能锻炼情况、术后出现足下垂时间等相关信息。结果:随访时间:1~1.3年,平均1.15年。所有患者胫骨缺损处均获得修复。148例患者中有37例患者出现足下垂并发症,其内26例为采用Ilizarov外固定架行延长胫骨近端截骨延长术患者、11例为采用Orthofix外固定架行胫骨近端截骨延长患者。结论:采用Ilizarov外固架行胫骨近端截骨延长的患者足下垂发生率明显高于采用Orthofix外固架的患者。同时作者认为严格掌握手术技能,术前认真设计、术中精细操作、术后严密随访及时处理等是减少胫骨截骨延长术后足下垂并发症的关键。
[Abstract]:Objective: to analyze the cases of foot prolapse after tibial osteotomy with Ilizarov external fixator and Orthofix external fixator. Methods: from July 2012 to May 2014, the clinical data of 148 patients undergoing tibial osteotomy and lengthening with Ilizarov external fixator and Orthofix external fixator in microsurgical repair surgery of the first affiliated Hospital of Xinjiang University were retrospectively analyzed. Postoperative functional exercise, postoperative foot droop time and other relevant information. Results: the follow-up time was 1 ~ 1.3 years (mean 1. 15 years). The defect of tibia was repaired in all the patients. 37 of 148 patients had complications of foot drooping. 26 of them were treated with Ilizarov external fixator for lengthening proximal tibia osteotomy and lengthening. 11 cases were treated with Orthofix external fixator for proximal tibial osteotomy and lengthening. Conclusion: the incidence of foot droop in patients with Ilizarov external fixation was significantly higher than that with Orthofix external fixation. At the same time, the author thinks that the key to reduce the complications of foot drooping after lengthening of tibial osteotomy is to master the operative skills strictly, to design carefully before operation, to operate carefully during the operation and to follow up closely and timely after operation.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R687.3

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