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[胫后肌腱转位治疗神经性马蹄内翻足]

[Transposition of the posterior tibial tendon in neuropathic talipes equinovarus].

作者信息

de Rooy J W, Keessen W, Pruijs J E

机构信息

Wilhelmina Kinderziekenhuis, afd. Orthopedie, Utrecht.

出版信息

Ned Tijdschr Geneeskd. 1990 Sep 29;134(39):1892-6.

PMID:2215768
Abstract

Equinovarus foot deformity as seen in neurologic disease is often caused by imbalance in muscle tone. One of the possible operative procedures to correct this deformity is transposition of the posterior tibial tendon. The effect of this intervention is disputed in the orthopaedic literature. The results of this procedure are presented in a retrospective study of 9 children (11 feet). The mean follow-up period was 19 months (8-40). In all cases but one the results were satisfactory. The indications and complications of this operation are discussed.

摘要

在神经疾病中出现的马蹄内翻足畸形通常是由肌张力失衡引起的。纠正这种畸形的一种可能的手术方法是胫后肌腱转位。这种干预措施的效果在骨科文献中存在争议。本文通过对9例儿童(11只脚)的回顾性研究展示了该手术的结果。平均随访期为19个月(8 - 40个月)。除1例病例外,所有病例的结果均令人满意。本文还讨论了该手术的适应症和并发症。

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