Zheng J H, Chen K P, Wei W M
Department of Orthopedic Surgery, People's Hospital of Puning, Puning Guangdong, P. R. China 515300.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2001 Mar;15(2):101-3.
To evaluate the effectiveness of the Bridle procedure in treatment of foot deformity in children with slight cerebral spastic paralysis.
From February 1993 to April 1999, 32 cases with 57 deformed feet, due to slight cerebral spastic paralysis, which included 20 males and 12 females, ranging from 4 to 14 years old, were reported after 6 to 74 months' follow-up, averaging 38 months. Bilateral feet were involved in 25 cases and unilateral feet involved in 7 cases. The deformities in all feet, including 26 feet of acroceph-foot deformity in 15 cases, 13 equinovarus deformity in 8 cases and 18 scissors gait deformity in 9 cases, were treated by Bridle procedure, followed by temporal external fixation of long-leg plaster splint for 6 to 8 weeks.
Clinical observation revealed complete and permanent correction of deformity in 48 out of all 57 feet (84.2%), reoccurrence of deformity in 7 feet (12.3%), and occurrence of valgus deformity in 2 feet (3.5%). No joint stiffness was observed.
The Bridle procedure is an easily performed operation and effective in the treatment of foot deformity in children with slight cerebral spastic paralysis.
评估Bridle手术治疗轻度脑瘫痉挛型小儿足部畸形的疗效。
1993年2月至1999年4月，对32例（57足）轻度脑瘫痉挛型小儿足部畸形患者进行报告，其中男20例，女12例，年龄4～14岁，随访6～74个月，平均38个月。双足畸形25例，单足畸形7例。所有足部畸形，包括15例26足的尖足畸形、8例13足的马蹄内翻畸形和9例18足的剪刀步态畸形，均采用Bridle手术治疗，术后长腿石膏夹板外固定6～8周。
临床观察显示，57足中48足（84.2%）畸形完全永久性矫正，7足（12.3%）畸形复发，2足（3.5%）出现外翻畸形。未观察到关节僵硬。
Bridle手术操作简便，治疗轻度脑瘫痉挛型小儿足部畸形疗效显著。
