足新型矫形外固定器的研制与应用

目的]报道一种足新型矫形外固定器的构成和临床应用效果，并与Illizarov外固定器进行对比。方法]作者研制一种足新型矫形外固定器，由3对、6根金属杆组成，每根金属杆具有单独的延长、加压功能。利用固定在胫骨、跟骨、跖骨共4根克氏针，将小腿、足部两侧成三角形连接为一体，进行三维矫形。2004年1月以来，使用该外固定器治疗先天性和后天获得性、不同原因引起的132马蹄内翻足畸形。现将随访12个月以上病例62例（85足）予以报道。结果]根据Garceau分级标准、结合患者足形态与功能表现评定：优：40足；良：40足；可：5足；差：无。优良率为94．1％。结论]足新型三维矫形外固定器治疗幼儿、青少年马蹄内翻足安全、可靠、有效；比Illizarov外固定器结构简单，安装方便、省时；患者感到舒适，轻便；成本低、价格便宜；适合国内有条件的医疗单位广泛应用。

A new type of external frame for the treatmemnt of club foot

Objective]A new type of external frame for the treatment of club foot in three dimensions was reported. The characteristics of this frame and Illizarov frame were compared. Method]The new frame was consisted of 3 couples with 6 metal rods. The rods have lengthening or compressing force on foot in three dimensions respectively through 4 Kire wires in tibia, calcaneus and tarsals. Sixty-two cases with 85 club feet followed more than 12 months were treated by the frame since Fabrnary 2004. Result] According to Gaeceau standerd and clinical appearance ,function of the feet after the treatment,40 feet were excellent, 40 feet were good ,5 feet were improved, no poor case. Conclusion ] The new type of external frame is safe, effective and reliable for the treatment of club foot in three dimensions. Compared to Illizarov frame, it is more simple, comfortable, cheep and easy to be managed.