Exner G U, Rüttimann B
Orthopädische Universitätsklinik Balgris, Zürich, Switzerland.
Int Orthop. 1991;15(3):229-32. doi: 10.1007/BF00192299.
Two infants with bilateral fibular aplasia are described. They were operated on at 1 1/2 years and 8 months respectively in order to obtain a stable axial position of the foot beneath the tibia. The procedures consisted of soft tissue releases together with angulation osteotomies of the tibiae in one, and splitting the distal tibial epiphysis in the other. Both patients are now able to walk well barefoot or in custom-made shoes; no orthotic devices are needed. This type of conservative approach should be considered rather than amputation in selected cases.
本文描述了两名双侧腓骨发育不全的婴儿。他们分别在1岁半和8个月时接受手术，目的是使足部在胫骨下方获得稳定的轴向位置。手术过程包括一例进行软组织松解和胫骨成角截骨，另一例进行胫骨远端骨骺劈开。两名患者现在都能够赤脚或穿着定制鞋行走良好；无需矫形器具。在某些特定病例中，应考虑这种保守治疗方法而非截肢。
