Maffulli N, Fixsen J A
Department of Orthopaedics, Hospitals for Sick Children, London, England.
J Bone Joint Surg Br. 1991 Nov;73(6):1002-4. doi: 10.1302/0301-620X.73B6.1955422.
We describe 11 children with fibular hypoplasia and three- or four-ray feet, two bilaterally. This deformity is a less severe form of the better known congenital short tibia with absent or dysplastic fibula. If the leg-length discrepancy is minor, no treatment or a simple orthosis are used. Epiphysiodesis or leg lengthening by callotasis is appropriate for mild to moderate discrepancy. If the foot is non-functional, or the projected leg-length discrepancy is too great, early amputation and a prosthesis are advised.
我们描述了11例患有腓骨发育不全和三或四趾足的儿童，其中2例为双侧患病。这种畸形是一种较不严重的先天性短胫畸形，伴有腓骨缺如或发育不良，后者更为人熟知。如果下肢长度差异较小，则无需治疗或仅使用简单的矫形器。对于轻度至中度差异，骨骺阻滞术或骨痂延长术延长腿部是合适的。如果足部无功能，或预计的下肢长度差异过大，则建议早期截肢并安装假肢。
