Objective To summarize and analyze the characteristics and treatment strategies of post-traumatic lower limb deformity based on QIN Sihe Orthopaedic Surgery Database. Methods A clinical data of 837 patients with post-traumatic lower limb deformities treated by orthopaedic surgery between May 25, 1978 and December 31, 2020 in QIN Sihe Orthopaedic Surgery Database were analyzed retrospectively. The information of the patient’s gender, age at the time of surgery, region of origin, cause of trauma, deformity side, orthopedic surgery related information (operation time, location, type, and fixation method after operation) were summarized and analyzed. Results All patients came from 32 provinces, municipalities, autonomous regions, and Taiwan in China. Among them, 551 cases (65.83%) were male and 286 cases (34.17%) were female. The age of the patients at the time of surgery was 3-84 years old, with an average of 27.6 years old, and the most patients were 16-45 years old (559 cases, 66.78%). The main cause of trauma was traffic accident injury (639 cases, 76.34%). The deformity mainly involved unilateral limbs, including 394 cases (47.07%) on the left side and 376 cases (44.92%) on the right side. The most patients were admitted between 2008 and 2017, accounting for 53.05% (444/837). All patients were operated on one or more sites (1 048 sites), among which ankle and toe surgery were the most, accounting for 48.38% (507/1 048). The patients received 1204 surgeries including tendon lengthening and soft tissue contracture release, et al. Orthopedic surgery combined with bone external fixation was used in 624 cases (467 cases of Ilizarov external fixation and 157 cases of combined external fixation), and plaster or brace external fixation was used in 213 cases. Conclusion Post-traumatic lower extremity deformity patients have a large proportion of males, with a wide geographical distribution, involving various parts of the lower extremities, and most commonly in the foot and ankle. Orthopedic surgery combined with bone external fixation (Ilizarov technique) is the main methods for correction and functional reconstruction of post-traumatic lower limb deformity.
Citation：
QIN Sihe, GUO Baofeng, ZHENG Xuejian, SHI Lei, WANG Yilan, ZHAO Jun. Analysis on the characteristics of 837 patients with post-traumatic lower limb deformities from QIN Sihe Orthopaedic Surgery Database between May 25, 1978 and December 31, 2020. Chinese Journal of Reparative and Reconstructive Surgery, 2022, 36(8): 1011-1014. doi: 10.7507/1002-1892.202204098
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Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
| 1. |
Frink M, Hildebrand F, Krettek C, et al. Compartment syndrome of the lower leg and foot. Clin Orthop Relat Res, 2010, 468(4): 940-950.
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| 2. |
秦泗河, 郭保逢, 臧建成, 等. 35075例手术治疗的肢体畸形残疾患者统计分析(秦泗河矫形外科1978. 5. 25—2018. 12. 31). 中国修复重建外科杂志, 2019, 33(11): 1333-1339.
|
| 3. |
Molloy AP, Roche A, Narayan B. Treatment of nonunion and malunion of trauma of the foot and ankle using external fixation. Foot Ankle Clin, 2009, 14(3): 563-587.
|
| 4. |
秦泗河, 陈建文, 郑学建, 等. 改良Ilizarov技术救治濒临截肢的下肢残缺畸形. 中华骨科杂志, 2010, 30(4): 423-426.
|
| 5. |
Qin S, Zang J, Jiao S, et al. Lower limb deformities: deformity correction and function reconstruction. Berlin: Springer, 2020: 335-347.
|
| 6. |
LaBianco GJ, Vito GR, Kalish SR. Use of the Ilizarov external fixator in the treatment of lower extremity deformities. J Am Podiatr Med Assoc, 1996, 86(11): 523-531.
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| 7. |
Tetsworth KD, Paley D. Accuracy of correction of complex lower-extremity deformities by the Ilizarov method. Clin Orthop Relat Res, 1994, (301): 102-110.
|
| 8. |
郭保逢, 秦泗河. Ilizarov技术在我国创伤骨科中的应用. 中华创伤杂志, 2020, 36(5): 393-398.
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| 9. |
秦泗河, 郭保逢, 焦绍锋, 等. 应用骨外固定技术矫正四肢畸形8113例数据分析. 中国修复重建外科杂志, 2018, 32(10): 1241-1248.
|
| 10. |
Goodier WD, Calder PR. External fixation for the correction of adult post-traumatic deformities. Injury, 2019, 50 Suppl 1: S36-S44.
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| 11. |
郭保逢, 臧建成. “自然重建理念” 对矫形外科发展的意义. 医学与哲学, 2019, 40(16): 27-30.
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| 12. |
中国医师协会骨科医师分会外固定与肢体重建专业委员会. Ilizarov技术治疗成人僵硬型马蹄内翻足临床诊疗专家共识 (2019版). 中华骨与关节外科杂志, 2019, 12(11): 841-847.
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- 1. Frink M, Hildebrand F, Krettek C, et al. Compartment syndrome of the lower leg and foot. Clin Orthop Relat Res, 2010, 468(4): 940-950.
- 2. 秦泗河, 郭保逢, 臧建成, 等. 35075例手术治疗的肢体畸形残疾患者统计分析(秦泗河矫形外科1978. 5. 25—2018. 12. 31). 中国修复重建外科杂志, 2019, 33(11): 1333-1339.
- 3. Molloy AP, Roche A, Narayan B. Treatment of nonunion and malunion of trauma of the foot and ankle using external fixation. Foot Ankle Clin, 2009, 14(3): 563-587.
- 4. 秦泗河, 陈建文, 郑学建, 等. 改良Ilizarov技术救治濒临截肢的下肢残缺畸形. 中华骨科杂志, 2010, 30(4): 423-426.
- 5. Qin S, Zang J, Jiao S, et al. Lower limb deformities: deformity correction and function reconstruction. Berlin: Springer, 2020: 335-347.
- 6. LaBianco GJ, Vito GR, Kalish SR. Use of the Ilizarov external fixator in the treatment of lower extremity deformities. J Am Podiatr Med Assoc, 1996, 86(11): 523-531.
- 7. Tetsworth KD, Paley D. Accuracy of correction of complex lower-extremity deformities by the Ilizarov method. Clin Orthop Relat Res, 1994, (301): 102-110.
- 8. 郭保逢, 秦泗河. Ilizarov技术在我国创伤骨科中的应用. 中华创伤杂志, 2020, 36(5): 393-398.
- 9. 秦泗河, 郭保逢, 焦绍锋, 等. 应用骨外固定技术矫正四肢畸形8113例数据分析. 中国修复重建外科杂志, 2018, 32(10): 1241-1248.
- 10. Goodier WD, Calder PR. External fixation for the correction of adult post-traumatic deformities. Injury, 2019, 50 Suppl 1: S36-S44.
- 11. 郭保逢, 臧建成. “自然重建理念” 对矫形外科发展的意义. 医学与哲学, 2019, 40(16): 27-30.
- 12. 中国医师协会骨科医师分会外固定与肢体重建专业委员会. Ilizarov技术治疗成人僵硬型马蹄内翻足临床诊疗专家共识 (2019版). 中华骨与关节外科杂志, 2019, 12(11): 841-847.
