摘要目的 探讨应用Ilizarov技术结合有限截骨治疗青少年先天性马蹄内翻足(congenital clubfoot,CCF)的疗效。方法 2014年6月至2018年7月收治30例共36足青少年CCF,其中男22足,女14足;年龄12~22岁,平均17岁。应用lizarov技术结合有限截骨方案,术后7天开始旋转Ilizarov牵伸器上的螺纹杆,逐步矫正足内翻、内收和前足下垂畸形,在牵伸矫形过程中,患足可负重行走。结果 本组30例患者均获得随访,随访时间6~30个月,平均16个月,患足畸形无复发,负重行走功能良好,根据国际马蹄足畸形研究会(international club foot study group,ICFSG)评分系统,本组获优28足,良6足,可2足,优良率94%。结论 应用Ilizarov技术结合有限截骨治疗青少年先天性马蹄内翻足畸形,遵循了骨自然重建理念,保留了患足的原有结构并重建其部分功能,是安全、微创、有效的方法。
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