Wenz W, Dreher T
Sektion Kinderorthopädie und Fusschirurgie, Department für Orthopädie, Unfallchirurgie und Paraplegiologie, Siftung Orthopädische Universitätsklinik Heidelberg, Deutschland.
Orthopade. 2011 May;40(5):433-9. doi: 10.1007/s00132-010-1726-x.
Tendon transfer surgery plays a central role in the treatment of pediatric foot deformities. Tendon transfers are essential for balancing in neurogenic deformities but also important for the treatment of congenital or idiopathic deformities. Furthermore tendon transfer represents an important management tool for revision surgery of failed treatment in foot deformities. Complications and pit-falls which can potentially lead to failure may occur during the indications and planning of the transfer as well as during the surgery. The identification and analysis of possible pitfalls and complications as well as their management is the central issue of this article. Knowledge about possible problems and their management are essential for successful treatment of pediatric foot deformities.
肌腱转移手术在小儿足部畸形的治疗中起着核心作用。肌腱转移对于神经源性畸形的平衡至关重要,对于先天性或特发性畸形的治疗也很重要。此外,肌腱转移是足部畸形治疗失败后翻修手术的重要管理工具。在转移手术的适应症和规划过程以及手术过程中,可能会出现潜在导致手术失败的并发症和陷阱。识别和分析可能的陷阱与并发症及其处理是本文的核心问题。了解可能出现的问题及其处理方法对于小儿足部畸形的成功治疗至关重要。