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- W3029819027 abstract "Objective To compare clinical outcomes of simple Ilizarov technique versus Ilizarov technique combined with soft tissue release in the treatment of posttraumatic equinus contracture.Methods From October 2006 to December 2011,26 patients who had suffered from unilateral rigid equinus contracture secondary to trauma were surgically treated in our department.They were 15 males and 11 females,aged 14 to 53 years (average,33.0 years).Of them,12 patients were treated by gradual distraction using simple Ilizarov technique (group A) while 14 patients were cured by Ilizarov technique combined with soft tissue release (group B).The 2 groups were compared in terms of plantar flexion at the maximal dorsiflexion,range of motion (ROM),Visual Analogue Scale Foot and Ankle (VAS-FA) score and correction loss at the last follow-ups.Results All the 26 patients were followed up from 12 to 36 months (average,24.8 months).The plantar flexion at the maximal dorsiflexion was respectively corrected from 51.7°± 6.2° in group A and 55.0° ± 7.3° in group B before operation to-9.2° ± 8.7° in group A and-11.4° ± 8.7° in group B at the latest follow up;ROM increased from 7.1 ° ± 5.4° in group A and 6.4° ± 5.0° in group B preoperatively to 25.8° ± 12.4° and 26.4° ± 10.1° respectively at the latest follow up;VAS-FA was improved from 34.9 ± 5.2 points in group A and 33.9 ± 5.5 points in group B preoperatively to 86.6 ± 6.3 points and 88.8 ± 4.0 points respectively at the last follow-up.There were significant differences between preoperation and the last follow-up within the same group (P < 0.05),but no significant differences between groups at the same time point (P > 0.05).Similarly,the correction loss was not significantly different between the 2 groups (P >0.05).The frame correction time and the total frame time in group A were significantly longer than those in group B (P < 0.05).Conclusions Ilizarov technique is very safe and efficient in the treatment of rigid equinus contracture secondary to trauma.When combined with soft tissue release,this technique can significantly shorten the treatment cycle.Key words: Ankle joint; Clubfoot; Ilizarov technique; Soft tissue injuries" @default.
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- W3029819027 date "2013-10-15" @default.
- W3029819027 modified "2023-09-26" @default.
- W3029819027 title "Ilizarov technique combined with or without soft tissue release for treatment of rigid equinus contracture secondary to trauma" @default.
- W3029819027 doi "https://doi.org/10.3760/cma.j.issn.1671-7600.2013.10.006" @default.
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