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僵硬性神经源性和先天性多发性关节挛缩症马蹄内翻足的手术治疗选择

Choices in surgical treatment of rigid neurogenic and arthrogrypotic clubfeet.

作者信息

Lichtblau S

出版信息

Mt Sinai J Med. 1989 Jan;56(1):17-22.

PMID:2784178
Abstract

Clinical experience in treating clubfoot suggests that the equinovarus deformity in the arthrogrypotic child is often comparable to the equinovarus deformity in certain neurologically impaired children. Both types of feet tend to be rigid, to resist correction, and to present problems of management different from those of idiopathic equinovarus feet. I describe a series of 18 rigid neurogenic or arthrogrypotic clubfeet in 10 children illustrating problems of diagnosis and management and pointing up the desirability of access to a broad range of surgical procedures to solve these unique problems.

摘要

治疗马蹄内翻足的临床经验表明,关节挛缩症患儿的马蹄内翻畸形通常与某些神经功能受损患儿的马蹄内翻畸形相似。这两种类型的足部往往都很僵硬,难以矫正,并且存在与特发性马蹄内翻足不同的管理问题。我描述了10名儿童的一系列18例僵硬性神经源性或关节挛缩性马蹄内翻足,阐述了诊断和管理问题,并强调了采用广泛的外科手术来解决这些独特问题的必要性。

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