Nomura Issei, Watanabe Koji, Matsubara Hidenori, Nishida Hideji, Shirai Toshiharu, Tsuchiya Hiroyuki
Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
Department of Orthopaedics, Kyoto Prefectural University of Medicine, Kyoto, Japan.
J Foot Ankle Surg. 2014 Mar-Apr;53(2):235-8. doi: 10.1053/j.jfas.2013.06.007. Epub 2013 Jul 25.
One-stage surgical correction of severe equinocavovarus deformity can result in complications ranging from skin necrosis to tibial nerve palsy. Fewer complications have been reported when severe deformities were treated by gradual correction using external frames such as the Ilizarov external fixator or the Taylor Spatial Frame™. We describe a case of a 64-year-old female patient with severe poliomyelitic equinocavovarus whose deformity required her to ambulate using the dorsum of her right foot as a weightbearing surface. We treated the deformity with gradual correction using a Taylor Spatial Frame™, followed by ankle arthrodesis. At the most recent postoperative evaluation, 20 months after the initial surgery, the patient was pain free and ambulating on the sole of her right foot.
重度马蹄内翻足畸形的一期手术矫正可能会导致从皮肤坏死到胫神经麻痹等一系列并发症。当使用诸如伊利扎罗夫外固定架或泰勒空间框架™等外固定架进行逐步矫正来治疗重度畸形时，所报告的并发症较少。我们描述了一例64岁患有重度小儿麻痹后遗症马蹄内翻足的女性患者，其畸形导致她需以右脚背作为负重面行走。我们使用泰勒空间框架™对该畸形进行逐步矫正，随后进行踝关节融合术。在初次手术后20个月的最近一次术后评估中，患者已无疼痛，且能以右脚掌行走。
