Saini Raghav, Gill Shivinder Singh, Dhillon Mandeep Singh, Goyal Tarun, Wardak Emal, Prasad Prabhudev
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
J Pediatr Orthop B. 2009 Mar;18(2):63-8. doi: 10.1097/BPB.0b013e328321ce71.
We present our experience in the correction of congenital vertical talus deformity in a single stage using dorsal approach. We operated on 20 feet using the dorsal approach and the average age of patients at the time of surgery was 16 months. Talonavicular reduction was achieved in all the feet and there was significant improvement in postoperative talo-calcaneal and talo-first metatarsal angles, which were well maintained at a follow-up of 4 years. In conclusion, the dorsal approach efficiently manages the deformities of a congenital vertical talus foot and provides consistent radiological and clinical outcome with minimal complications such as revision surgeries and osteonecrosis of the talus.
我们介绍了采用背侧入路一期矫正先天性垂直距骨畸形的经验。我们采用背侧入路对20只足进行了手术,手术时患者的平均年龄为16个月。所有足均实现了距舟关节复位,术后距跟和距第一跖骨角有显著改善,在4年的随访中保持良好。总之,背侧入路能有效处理先天性垂直距骨足的畸形,并提供一致的影像学和临床结果,并发症如翻修手术和距骨缺血性坏死最少。