【摘要】：目的對(duì)比Ilizarov技術(shù)與三關(guān)節(jié)融合術(shù)兩種手術(shù)方式對(duì)治療創(chuàng)傷性馬蹄足畸形的臨床療效的研究。方法:2014年3月~2017年3月應(yīng)用手術(shù)治療創(chuàng)傷性馬蹄足患者77例,應(yīng)用Ilizarov技術(shù)手術(shù)治療47例,應(yīng)用三關(guān)節(jié)融合術(shù)手術(shù)治療30例。采用AOFAS踝-后足評(píng)分系統(tǒng)評(píng)價(jià)患者術(shù)后畸形及功能恢復(fù)情況。結(jié)果:Ilizarov技術(shù)組平均跖屈畸形53.10°,三關(guān)節(jié)融合組平均跖屈畸形46.43°,這兩組之間并沒有統(tǒng)計(jì)學(xué)上的差異(P0.05)。術(shù)中出血量Ilizarov技術(shù)組(51.75±10.681)ml,三關(guān)節(jié)融合術(shù)組(101.76±6.580)ml,三關(guān)節(jié)融合術(shù)組出血量顯著多于Ilizarov技術(shù)組(P0.01)。兩組術(shù)式的手術(shù)時(shí)間、AOFAS踝-后足評(píng)分系統(tǒng)差異均無統(tǒng)計(jì)學(xué)上的差異(P0.05)。結(jié)論:對(duì)于軟組織條件允許的患者,兩種治療方案均對(duì)創(chuàng)傷性馬蹄足有明顯的治療效果,臨床效果明確。對(duì)于軟組織條件差的患者,不宜采用侵入性較大的手術(shù),Ilizarov技術(shù)組術(shù)后療效明顯優(yōu)于三關(guān)節(jié)融合術(shù)組。
[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 擄in Ilizarov group and 46.43 擄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 鹵10.681) ml, triple arthrodesis group (101.76 鹵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.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R687.4

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