Roth Sandor, Sestan Branko, Tudor Anton, Ostojic Zdenko, Sasso Anton, Durbesic Artur
KBC Rijeka, Children Orthopedics, F.la Guardia 14, Rijeka 51000, Croatia.
Foot Ankle Int. 2007 Sep;28(9):991-5. doi: 10.3113/FAI.2007.0991.
The aim of this study was to correct heel valgus in children and to lift the longitudinal arch of the foot using a temporary cancellous screw placed percutaneously across the talocalcaneal articulation.
From April, 1997, to June, 2003, 94 procedures were done on 48 children between the ages of 8 and 14 years. The Meary angle to determine the degree of collapse of the medial longitudinal arch was 170 degrees or less, and the weightbearing hindfoot was in valgus. Presumably, the screw achieves correction by stimulating the proprioceptive foot receptors allowing active inversion of the foot.
At 5 years followup, no serious complications occurred. The correction of the Meary angle on average was 17.10 +/- 5.51 degrees. In every foot, heel valgus and the longitudinal arch of the foot were improved radiographically and clinically without the loss of function. We removed the screws in all patients. In 91 feet, the arch of the foot and heel valgus remained in the corrected position.
The 'calcaneo-stop' method is a simple, effective, minimally invasive technique for the treatment of idiopathic, flexible pes planus in carefully selected pediatric patients.
本研究的目的是通过经皮在距跟关节处放置一枚临时松质骨螺钉来纠正儿童足跟外翻并抬高足纵弓。
从1997年4月至2003年6月，对48名8至14岁的儿童进行了94例手术。用于确定内侧纵弓塌陷程度的Meary角为170度或更小，且负重后足呈外翻。据推测，螺钉通过刺激足部本体感受器实现矫正，从而使足部主动内翻。
在5年的随访中，未发生严重并发症。Meary角平均矫正17.10 +/- 5.51度。在每只足部，足跟外翻和足纵弓在影像学和临床上均得到改善，且功能未丧失。我们为所有患者取出了螺钉。在91只足部，足弓和足跟外翻保持在矫正位置。
“跟骨阻挡”方法是一种简单、有效、微创的技术，用于治疗精心挑选的小儿特发性柔韧性扁平足。
