Effectiveness of Ilizarov technique in treatment of clubfoot after burns_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHANG Ziyang ¹ , ZANG Jiancheng ^2,3,4 ,  QIN Sihe ^2,3,4

1. Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563000, P.R.China;
2. National Research Center for Rehabilitation Technical Aids Rehabilitation Hospital, Beijing, 100176, P.R.China;
3. Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Beijing, 100176, P.R.China;
4. Key Laboratory of Intelligent Control and Rehabilitation Technology of the Ministry of Civil Affairs, Beijing, 100176, P.R.China;

Corresponding?author：

QIN Sihe, Email: qinsihe@163.com

Keywords：

Ilizarov technique; clubfoot; functional reconstruction; burn

DOI：

10.7507/1002-1892.201709052

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo investigate the effectiveness of Ilizarov technique in treatment of the clubfoot after burns.MethodsBetween March 2012 and February 2017, 12 patients (17 feet) with clubfoot after burns were treated with Ilizarov technique. There were 10 males (14 feet) and 2 females (3 feets) with an average age of 38 years (range, 18-52 years). There were 3 cases of left foot, 4 cases of right foot, and 5 cases of both feet. According to the Qin’s classification of clubfoot deformity, there were 5 feet of degreeⅠ, 9 feet of degreeⅡ, and 3 feet of degree Ⅲ.ResultsAll clubfeet were completely corrected without local skin necrosis, needle tract infection, or acroanesthesia. All patients could walk with a heavy load. Pationts were followed up from 4 months to 3 years (mean, 10 months). At last follow-up, according to the International Clubfoot Study Group (ICFSG) score, the effectiveness was rated as excellent in 7 feet, good in 7 feet, and fair in 3 feet, with the excellent and good rate of 82.4%.ConclusionUsing Ilizarov technique can gradually correct the clubfoot deformity with the advantages of minimal invasion, safeness, and simpleness.

Citation： ZHANG Ziyang, ZANG Jiancheng, QIN Sihe. Effectiveness of Ilizarov technique in treatment of clubfoot after burns. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(2): 178-181. doi: 10.7507/1002-1892.201709052 Copy

1.	秦泗河. 脊髓灰質炎后遺癥外科治療. 北京: 人民衛生出版社, 2006: 116-117.
2.	Malizos KN, Gougulias NE, Dailiana ZH, et al. Relapsed clubfoot correction with soft-tissue release and selective application of Ilizarov technique. Strategies Trauma Limb Reconstr, 2008, 3(3): 109-117.
3.	羅穎琪, 石磊, 鄒利軍, 等. Ilizarov 技術聯合跗骨 V 形截骨在創傷性馬蹄內翻足中的應用價值分析. 中國現代手術學雜志, 2017, 21(1): 48-51.
4.	Reitenbach E, R?dl R, Gosheger G, et al. Deformity correction and extremity lengthening in the lower leg: comparison of clinical outcomes with two external surgical procedures. SpringerPlus, 2016, 5(1): 2-9.
5.	臧建成, 秦泗河, 焦紹鋒, 等. 骨外固定技術治療脊柱裂后遺足踝畸形. 中國矯形外科雜志, 2017, 25(4): 308-311.
6.	Fernandes RM, Mendes MD, Amorim R, et al. Surgical treatment of neglected clubfoot using external fixator. Rev Bras Ortop, 2016, 51(5): 501-508.
7.	董長紅, 蔣守海, 徐明亮, 等. Ilizarov 技術結合跗骨 V 形截骨治療創傷性馬蹄內翻足. 中國修復重建外科雜志, 2015, 29(12): 1474-1477.
8.	李浪, 黃奇, 高峰, 等. Ilizarov 技術結合非融合理念矯治創傷后馬蹄內翻足. 中國修復重建外科雜志, 2014, 28(7): 823-827.
9.	Mahapatra S, Abraham V. A comparative analysis of the two most common surgical exposures for clubfoot. International Surgery Journal, 2016, 3(3): 1283-1286.
10.	董震, 王林濤, 齊鵬, 等. Ilizarov 外固定架聯合跟骨截骨矯正痙攣性馬蹄內翻足. 中國現代醫學雜志, 2017, 29(10): 80-84.
11.	焦紹鋒, 秦泗河, 王振軍,等. Ilizarov 技術治療下肢血管瘤致足踝畸形. 中國骨與關節外科, 2015, 8(4): 310-313.
12.	胡新永, 王義生, 陳建文, 等. 外固定器治療腦性癱瘓僵硬性足部畸形 216 足療效分析. 中國矯形外科雜志, 2017, 25(1): 25-28.
13.	依力哈木江·吾斯曼,買買提明·賽依提,阿布地哈比爾·阿不拉,等. Ilicarov 與 Oryhofix 外固定架行脛骨截骨延長后發生的足下垂. 中國組織工程研究,2016, 20(22): 3279-3286.
14.	朱光輝, 梅海波, 伍江雁, 等. Ponseti 方法治療延遲就診的兒童先天性馬蹄內翻足. 臨床骨科雜志, 2015, 18(5): 574-576.
15.	Dimeglio A, Canavese F. The French functional physical therapy method for the treatment of congenital clubfoot. J Pediatr Orthop B, 2012, 21(1): 28-39.
16.	?vehlík M, Floh U, Steinwender G, et al. Ponseti method is superior to surgical treatment in clubfoot–Long-term, randomized, prospective trial. Gait & Posture, 2017, 58(2): 346-351.
17.	焦紹鋒, 秦泗河, 郭保逢, 等. Ilizarov 技術結合有限手術治療伴有皮膚潰瘍的馬蹄內翻足. 中國骨傷, 2015, 28(2): 145-149.
18.	?ukasz M, Leszek G, Jacek K. Early results of treatment for congenital clubfoot using the Ponseti method. Eur J Orthop Surg Traumatol, 2012, 22 (5): 403-406.

1. 秦泗河. 脊髓灰質炎后遺癥外科治療. 北京: 人民衛生出版社, 2006: 116-117.
2. Malizos KN, Gougulias NE, Dailiana ZH, et al. Relapsed clubfoot correction with soft-tissue release and selective application of Ilizarov technique. Strategies Trauma Limb Reconstr, 2008, 3(3): 109-117.
3. 羅穎琪, 石磊, 鄒利軍, 等. Ilizarov 技術聯合跗骨 V 形截骨在創傷性馬蹄內翻足中的應用價值分析. 中國現代手術學雜志, 2017, 21(1): 48-51.
4. Reitenbach E, R?dl R, Gosheger G, et al. Deformity correction and extremity lengthening in the lower leg: comparison of clinical outcomes with two external surgical procedures. SpringerPlus, 2016, 5(1): 2-9.
5. 臧建成, 秦泗河, 焦紹鋒, 等. 骨外固定技術治療脊柱裂后遺足踝畸形. 中國矯形外科雜志, 2017, 25(4): 308-311.
6. Fernandes RM, Mendes MD, Amorim R, et al. Surgical treatment of neglected clubfoot using external fixator. Rev Bras Ortop, 2016, 51(5): 501-508.
7. 董長紅, 蔣守海, 徐明亮, 等. Ilizarov 技術結合跗骨 V 形截骨治療創傷性馬蹄內翻足. 中國修復重建外科雜志, 2015, 29(12): 1474-1477.
8. 李浪, 黃奇, 高峰, 等. Ilizarov 技術結合非融合理念矯治創傷后馬蹄內翻足. 中國修復重建外科雜志, 2014, 28(7): 823-827.
9. Mahapatra S, Abraham V. A comparative analysis of the two most common surgical exposures for clubfoot. International Surgery Journal, 2016, 3(3): 1283-1286.
10. 董震, 王林濤, 齊鵬, 等. Ilizarov 外固定架聯合跟骨截骨矯正痙攣性馬蹄內翻足. 中國現代醫學雜志, 2017, 29(10): 80-84.
11. 焦紹鋒, 秦泗河, 王振軍,等. Ilizarov 技術治療下肢血管瘤致足踝畸形. 中國骨與關節外科, 2015, 8(4): 310-313.
12. 胡新永, 王義生, 陳建文, 等. 外固定器治療腦性癱瘓僵硬性足部畸形 216 足療效分析. 中國矯形外科雜志, 2017, 25(1): 25-28.
13. 依力哈木江·吾斯曼,買買提明·賽依提,阿布地哈比爾·阿不拉,等. Ilicarov 與 Oryhofix 外固定架行脛骨截骨延長后發生的足下垂. 中國組織工程研究,2016, 20(22): 3279-3286.
14. 朱光輝, 梅海波, 伍江雁, 等. Ponseti 方法治療延遲就診的兒童先天性馬蹄內翻足. 臨床骨科雜志, 2015, 18(5): 574-576.
15. Dimeglio A, Canavese F. The French functional physical therapy method for the treatment of congenital clubfoot. J Pediatr Orthop B, 2012, 21(1): 28-39.
16. ?vehlík M, Floh U, Steinwender G, et al. Ponseti method is superior to surgical treatment in clubfoot–Long-term, randomized, prospective trial. Gait & Posture, 2017, 58(2): 346-351.
17. 焦紹鋒, 秦泗河, 郭保逢, 等. Ilizarov 技術結合有限手術治療伴有皮膚潰瘍的馬蹄內翻足. 中國骨傷, 2015, 28(2): 145-149.
18. ?ukasz M, Leszek G, Jacek K. Early results of treatment for congenital clubfoot using the Ponseti method. Eur J Orthop Surg Traumatol, 2012, 22 (5): 403-406.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of Ilizarov technique in treatment of clubfoot after burns

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content