肢体畸形矫正理念的进化中国残疾人康复协会肢体残疾康复专业委员会主任委员

Evolution in the concept of limb deformity correction

摘要:

各种涉及肢体的疾病或创伤都有可能导致患者肢体畸形致残。以往只重视肢体畸形的矫正和功能代偿，费用高，效果差。近十年来，肢体畸形矫正的总体概念不断更新，更加强调原发性疾病和损伤的正确治疗及康复，预防畸形发生；此外， 对肢体畸形应早期发现，早期干预；在矫正肢体力线的基础上，重获关节活动度，重建韧带稳定性和肌肉平衡；各种手术矫正与患者积极参与康复相结合。本文评述了下肢畸形的原因、评估、矫正原则和治疗方案选择，并简要介绍了中国残疾人康复协会肢体残疾康复专业委员会近十年来的工作。

Abstract:

All kinds of diseases or injury involving the extremity might lead to its deformity with disability of the patient. In the past, more attention was paid to the correction and functional compensation of the limb deformity only, which cost a lot and had a poor effect. In the past decade, the general notion of limb deformity correction has been constantly updated, with more emphasis on the correct treatment and rehabilitation of primary disorder and injuries to prevent deformity early. In addition, the idea has been put up, including the early de- tection of malformations and early intervention, regaining the joint stability and range of motion, as well as reconstruction of ligamentous sta- bility and muscle balance on the basis of restoring the normal alignment of the limb, and the combination of various surgical corrections with patients' active participation in rehabilitation. This paper reviews the causes, evaluation, correction principles and treatment options of lower limb deformities, and gives a brief introduction of the works of the Orthopaedics and Rehabilitation Committee for Physical Disability, China Association of Rehabilitation of Disabled Persons in the past ten years.