摘要
目的探讨国产骨外固定器联合跟骨截骨术对痉挛性马蹄内翻足的应用效果。方法选取2015年1月至2017年6月该院收治的100例痉挛性马蹄内翻足患者为研究对象,按照随机数字表法分为常规组与试验组,每组各50例。两组患者均给予跟骨截骨术治疗,术后常规组患者采用石膏外固定,试验组患者采用国产骨外固定器llizarov进行固定。比较两组患者治疗前后的美国足踝外科协会(AOFAS)踝-后足评分及踝关节背伸、跖屈主动活动度,并比较临床疗效,观察并发症发生情况及畸形复发情况。结果两组患者末次随访时的AOFAS踝-后足评分明显高于术前,试验组患者末次随访时AOFAS踝-后足评分明显高于常规组患者,差异均有统计学意义(P<0.05);两组患者末次随访时的踝关节背伸、跖屈主动活动度明显大于术前,试验组患者末次随访时的踝关节背伸、跖屈主动活动度明显大于常规组患者,差异均有统计学意义(P<0.05);试验组患者临床疗效的优良率明显高于常规组患者(P<0.05);试验组患者术后并发症发生率明显低于常规组患者,差异有统计学意义(P<0.05);试验组患者随访期间无畸形复发,常规组患者有2例畸形复发。结论对痉挛性马蹄内翻足患者实施国产骨外固定器联合跟骨截骨术,可明显改善足部功能及踝关节活动度,提高临床疗效,且并发症少,畸形复发少,具有推广应用价值。
Objective To explore the application effect of domestic external bone fixator combined with calcaneal osteotomy on spastic talipes equinovarus.Methods A total of 100 patients with spastic talipes equinovarus were selected as objects from January 2015 to June 2017 in Mianyang Municipal Osteological Hospital,and divided into routine group and experimental group according to random number table method,with 50 cases in each group.The patients in the two groups were given calcaneal osteotomy,and the patients in routine group were fixed with gypsum,while the patients in experimental group were fixed with domestic bone external fixator llizarov.The ankle-hind foot scores of American Association of Ankle Surgery (AOFAS) and the active range of motion of dorsal extension and plantar flexion of ankle joint before and after treatment were compared between the two groups,and the clinical effects were compared,the complications and the recurrence of deformities also were observed.Results The ankle-hind foot scores of AOFAS at the last follow-up of the two groups were significantly higher than those before operation,of which the experimental group at the last follow-up was significantly higher than that of the routine group (P<0.05).The active range of motion of ankle dorsiflexion and plantar flexion at the last follow-up of the two groups were significantly higher than those before operation,of which the experimental group at the last follow-up were significantly higher than those of the routine group (P<0.05).There was a significant difference in clinical efficacy between the two groups at the last follow-up,and the excellent and good rate of the experimental group was significantly higher than that of the routine group (P<0.05).The incidence rate of postoperative complications of the experimental group was significantly lower than that of the routine group (P<0.05),and there was no deformity recurrence of the experimental group during the follow-up period,but there were 2 cases of deformity recurrence of the routine group.C
作者
李斌
王家洪
LI Bin;WANG Jiahong(Department of Ankle,Mianyang Municipal Osteological Hospital,Mianyang,Sichuan 621000,China)
出处
《检验医学与临床》
CAS
2019年第14期2023-2026,共4页
Laboratory Medicine and Clinic
关键词
国产骨外固定器
跟骨截骨术
痉挛性马蹄内翻足
domestic external bone fixator
calcaneal osteotomy
spastic talipes equinovarus
