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儿童高弓足的跟骨截骨术

[Osteotomy of the calcaneus for pes cavus in childhood].

作者信息

Filipe G, Queneau P

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1977 Sep;63(6):563-73.

PMID:144302
Abstract

Osteotomy of the calcaneus (Dwyer procedure) was performed in 14 children (26 feet) aged between 5 and 15 years. On four occasions it was associated with an osteotomy of the first metatarsal and on three occasions with tarsectomy. The technique is described and the results are analysed. The authors conclude that the results were good in children under the age of 10 whilst the feet were still supple. In children over the age of 10, in whom the feet were more rigid, the gait was improved but the cavus deformity was not improved. The best age for operation is between 6 and 10 years.

摘要

对14名年龄在5至15岁的儿童(26只脚)实施了跟骨截骨术(德怀尔手术)。有4次手术同时进行了第一跖骨截骨术,3次手术同时进行了跗骨切除术。本文描述了该技术并分析了结果。作者得出结论,10岁以下儿童的手术效果良好,此时足部仍较为柔软。10岁以上儿童的足部较为僵硬,步态虽有改善,但高弓足畸形未得到改善。最佳手术年龄为6至10岁。

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