摘要
目的评价同一切口跟腱滑动延长加距下关节关节囊松解及个体化跖筋膜松解术或胫前肌腱外移术治疗先天性马蹄内翻足的效果。方法对3个月后首次就诊的48例先天性马蹄内翻足采用同一切口完成跟腱滑动分离延长加距下关节关节囊松解及个体化跖筋膜松解术或胫前肌腱外移术治疗。结果术后均获得随访,平均随访1年6个月。优71%,良15.7%,总优良率为86·7%。5足畸形复发,占6.94%。结论跟腱滑动延长较好地纠正了马蹄,距下关节松解可使跟骨与距骨之间能获得充分的旋转复位,个体化治疗可有效解决中足高弓及前足内收畸形。此种手术方法简单、安全、效果肯定。
Objective To explore aehillis tendon - sliding procedure and subtalar joint capsula release by the same cut and individualiza- tion treatment used in the correction of congenital clubfoot. Methods Forty - eight cases （76 feet） of congenital clubfoot who were first visit were treated by achillis tendon -sliding procedure and subtalar joint capsula release by the same cut,meantime,footplate fascia release and transfer of the anterior tibial tenden were made by individualization. Results All cases were followed - up, the average time follow - up was 1 year and 6 months, excellent was 71% and good were 15.7%. Five cases were recurrence and its rate was 6.94%. Conclusions Achillis tendon - sliding procedure and subtalar joint capsula release by the same cut can solve rotation of displacement between calcaneus and talus and individualization treatment can also solve high arch deformity and adduction of foot. This technique is a simple,safe and effective treatment for congenital clubfoot.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2007年第1期69-70,共2页
Journal of Applied Clinical Pediatrics
关键词
马蹄足畸形
跟腱滑动延长术
距下关节关节囊松解术
个体化
equinus deformity
aehillis tendon -sliding procedure
subtalar joint capsula release
individualization
