Wu H J, Chang J K, Lin S Y
Gaoxiong Yi Xue Ke Xue Za Zhi. 1989 Oct;5(10):584-9.
Medial femoral torsion is not rarely problem seen in orthopaedic clinics. Patients are always bilaterally involved. Most cases walk normally or with a slight toe-in gait. These need no further treatment. However, it has been suggested that severe cases may have sequelae in the hip or lower leg. For these cases, surgical treatment has been considered. The age of surgical treatment was commonly accepted as 8 years old. We will present a case of bilateral medial torsional deformity with severe toe-in gait of the right leg. Although the patient was only 6 years old, to resolve his walking problem and social withdrawal, derotational osteotomy was performed in the subtrochanteric area. This resulted in prompt functional recovery. This case and its controversies are discussed.
股骨内旋在骨科门诊并不少见。患者通常双侧受累。大多数病例行走正常或有轻微内八字步态。这些情况无需进一步治疗。然而,有人提出严重病例可能在髋部或小腿出现后遗症。对于这些病例,已考虑手术治疗。手术治疗的年龄通常认为是8岁。我们将介绍一例双侧内旋畸形且右腿有严重内八字步态的病例。尽管患者只有6岁,但为了解决他的行走问题和社交退缩问题,在转子下区域进行了旋转截骨术。这导致了迅速的功能恢复。本文对该病例及其争议进行了讨论。