Guttmann G G
Albert Einstein Medical Center/Moss Rehabilitation Hospital, Philadelphia, PA 19141.
Foot Ankle. 1990 Feb;10(4):206-10. doi: 10.1177/107110079001000403.
Twenty-six extra-articular subtalar arthrodeses were performed on 15 patients with flexible planovalgus feet due to cerebral palsy. Following muscle balancing procedures, an iliac bone plug was used to stabilize the sinus tarsi. A review of the results up to 12 years, average 6.8, is presented. Overall satisfactory results were achieved in 88.4% of the patients, unsatisfactory in 11.6%. All children were immobilized in short-leg walking casts for 6 to 8 weeks. The surgical technique is described. The procedure gave good stability to the subtalar joint and was found to be reliable. Graft acquisition was simple and there were no complications.
对15例因脑瘫导致柔性扁平外翻足的患者实施了26例距下关节外固定融合术。在进行肌肉平衡手术之后，使用髂骨块来稳定跗骨窦。本文呈现了对长达12年（平均6.8年）的结果的回顾。总体而言，88.4%的患者取得了满意的结果，11.6%的患者结果不满意。所有儿童均用短腿行走石膏固定6至8周。描述了手术技术。该手术为距下关节提供了良好的稳定性，且被发现是可靠的。植骨获取简单，没有并发症。
