跟骨内固定治疗先天性马蹄内翻足的短期疗效
The short-term effect of an anchor in treatment of congenital vertical talus in infants.
机构信息
Department of Orthopaedics, Gen Hosp of the Second Artillery, Beijing, China.
出版信息
Orthop Surg. 2010 Aug;2(3):218-22. doi: 10.1111/j.1757-7861.2010.00090.x.
OBJECTIVE
To investigate the short-term effect of a mini anchor in treatment of congenital vertical talus (CVT) in infants.
METHODS
From February 2006 to March 2008, seven patients (nine feet) with CVT were treated in the authors' hospital by the Kumar method combined with transferring and fixing the tendon of the anterior tibial muscle to the head of the talus with a mini anchor. There were five girls and two boys, aged from 10 to 42 months (mean, 18 months). All the feet had a rocker-bottom when the infants were taken to the hospital by their parents and none of them could walk independently. All cases were followed up in the outpatient department, and the Hamanishi and Adelaar standards were used to evaluate the radiograph and clinical results, respectively.
RESULTS
All cases were followed up for 20 to 29 months (mean, 24 months). The parents of these infants were all satisfied with this operation, and five infants can now walk independently. At the most recent follow-up, seven feet were fine and two good according to the Adelaar standard, and six feet were good and three fine according to the Hamanishi standard.
CONCLUSION
The short-term effect of an anchor in treatment of CVT in infants was satisfactory with no recurrence nor talus necrosis.
目的
探讨微型锚钉在治疗婴儿先天性垂直距骨（CVT）中的短期疗效。
方法
2006 年 2 月至 2008 年 3 月，作者医院采用 Kumar 法联合微型锚钉将胫骨前肌腱转移并固定至距骨头部治疗 CVT 患儿 7 例（9 足）。其中女 5 例，男 2 例；年龄 10~42 个月，平均 18 个月。所有患儿就诊时均为家长抱入医院，均可见足呈摇椅底状，均不能独立行走。所有患儿均在门诊进行随访，分别采用 Hamanishi 和 Adelaar 标准评估影像学和临床结果。
结果
所有患儿均获随访 20~29 个月，平均 24 个月。患儿家长均对手术效果满意，其中 5 例患儿可独立行走。末次随访时，按 Adelaar 标准，7 足为优，2 足为良；按 Hamanishi 标准，6 足为优，3 足为良。
结论
微型锚钉治疗婴儿 CVT 的短期疗效满意，无复发和距骨坏死。
Zotero 插件