论文部分内容阅读
目的:为了提高僵硬型马蹄内翻足的矫正效果。方法:采用距下关节完全松解术来矫正此类畸形。距下关节完全松解术包括标准的后内侧松解以及距舟关节外侧、距下关节外侧、腓跟韧带和跟距骨间韧带的松解。在距下关节松解后,跟骰关节松解或跟骨截骨常用来进一步矫正前足持续性内收畸形。为使足的位置得到较好维持,用克氏针将足固定直至韧带愈合非常重要。结果:本组19例(共23个足),年龄9个月至4岁7个月,平均1岁9个月。随访时间平均2年4个月。按 Garceau 评价标准评定疗效,优良率达86%。结论:该术式的两个优点在于它既能较传统的后内侧松解术提供较大限度的矫正,又能较好地恢复足与腿的力线。
Objective: To improve the correction effect of stiff clubfoot. Methods: Complete sublimation of the subtalar joint to correct such deformities. Total subtalar arthrodesis includes standard posterior medial loosening and release of the lateral and subtalar articular joints, the fibular and ligaments, and the interosseous ligaments. After the subtalar joint is released, the calcaneal osteotomy or calcaneal osteotomy is used to further correct the persistent adduction of the forefoot. In order to maintain the position of the foot well, it is very important to fix the foot with Kirschner wire until the ligament is healed. Results: The group of 19 patients (23 feet), aged 9 months to 4 years and 7 months, an average of 1 year and 9 months. The average follow-up time was 2 years and 4 months. According to Garceau evaluation criteria to evaluate the efficacy, excellent rate of 86%. CONCLUSIONS: The two advantages of this procedure are that it provides a greater degree of correction than the more traditional posterior medial lysis and provides a good recovery of the force line between the foot and the leg.