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：

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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. 脊髓灰质炎后遗症外科治疗. 北京: 人民卫生出版社, 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.	罗颖琪, 石磊, 邹利军, 等. Ilizarov 技术联合跗骨 V 形截骨在创伤性马蹄内翻足中的应用价值分析. 中国现代手术学杂志, 2017, 21(1): 48-51.
4.	Reitenbach E, Rödl 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, 焦绍锋, 等. 骨外固定技术治疗脊柱裂后遗足踝畸形. 中国矫形外科杂志, 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.	董长红, 蒋守海, 徐明亮, 等. Ilizarov 技术结合跗骨 V 形截骨治疗创伤性马蹄内翻足. 中国修复重建外科杂志, 2015, 29(12): 1474-1477.
8.	李浪, 黄奇, 高峰, 等. Ilizarov 技术结合非融合理念矫治创伤后马蹄内翻足. 中国修复重建外科杂志, 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, 王林涛, 齐鹏, 等. Ilizarov 外固定架联合跟骨截骨矫正痉挛性马蹄内翻足. 中国现代医学杂志, 2017, 29(10): 80-84.
11.	焦绍锋, 秦泗河, 王振军,等. Ilizarov 技术治疗下肢血管瘤致足踝畸形. 中国骨与关节外科, 2015, 8(4): 310-313.
12.	胡新永, 王义生, 陈建文, 等. 外固定器治疗脑性瘫痪僵硬性足部畸形 216 足疗效分析. 中国矫形外科杂志, 2017, 25(1): 25-28.
13.	依力哈木江·吾斯曼,买买提明·赛依提,阿布地哈比尔·阿不拉,等. Ilicarov 与 Oryhofix 外固定架行胫骨截骨延长后发生的足下垂. 中国组织工程研究,2016, 20(22): 3279-3286.
14.	朱光辉, 梅海波, 伍江雁, 等. Ponseti 方法治疗延迟就诊的儿童先天性马蹄内翻足. 临床骨科杂志, 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.	Švehlík 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.	焦绍锋, 秦泗河, 郭保逢, 等. Ilizarov 技术结合有限手术治疗伴有皮肤溃疡的马蹄内翻足. 中国骨伤, 2015, 28(2): 145-149.
18.	Łukasz 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. 脊髓灰质炎后遗症外科治疗. 北京: 人民卫生出版社, 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. 罗颖琪, 石磊, 邹利军, 等. Ilizarov 技术联合跗骨 V 形截骨在创伤性马蹄内翻足中的应用价值分析. 中国现代手术学杂志, 2017, 21(1): 48-51.
4. Reitenbach E, Rödl 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, 焦绍锋, 等. 骨外固定技术治疗脊柱裂后遗足踝畸形. 中国矫形外科杂志, 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. 董长红, 蒋守海, 徐明亮, 等. Ilizarov 技术结合跗骨 V 形截骨治疗创伤性马蹄内翻足. 中国修复重建外科杂志, 2015, 29(12): 1474-1477.
8. 李浪, 黄奇, 高峰, 等. Ilizarov 技术结合非融合理念矫治创伤后马蹄内翻足. 中国修复重建外科杂志, 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, 王林涛, 齐鹏, 等. Ilizarov 外固定架联合跟骨截骨矫正痉挛性马蹄内翻足. 中国现代医学杂志, 2017, 29(10): 80-84.
11. 焦绍锋, 秦泗河, 王振军,等. Ilizarov 技术治疗下肢血管瘤致足踝畸形. 中国骨与关节外科, 2015, 8(4): 310-313.
12. 胡新永, 王义生, 陈建文, 等. 外固定器治疗脑性瘫痪僵硬性足部畸形 216 足疗效分析. 中国矫形外科杂志, 2017, 25(1): 25-28.
13. 依力哈木江·吾斯曼,买买提明·赛依提,阿布地哈比尔·阿不拉,等. Ilicarov 与 Oryhofix 外固定架行胫骨截骨延长后发生的足下垂. 中国组织工程研究,2016, 20(22): 3279-3286.
14. 朱光辉, 梅海波, 伍江雁, 等. Ponseti 方法治疗延迟就诊的儿童先天性马蹄内翻足. 临床骨科杂志, 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. Švehlík 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. 焦绍锋, 秦泗河, 郭保逢, 等. Ilizarov 技术结合有限手术治疗伴有皮肤溃疡的马蹄内翻足. 中国骨伤, 2015, 28(2): 145-149.
18. Łukasz 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

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