Machida Jiro, Inaba Yutaka, Nakamura Naoyuki
Department of Orthopaedics, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, 232-8555, Japan.
Department of Orthopaedics, Yokohama City University, Japan.
J Orthop Sci. 2017 Mar;22(2):175-183. doi: 10.1016/j.jos.2016.12.009. Epub 2017 Jan 9.
This study describes the management of foot deformity in children. Severe congenital clubfeet treated using posteromedial release without talocalcaneal joint release were flexible and functional. Talectomy may be necessary for congenital clubfeet with arthrogryposis multiplex congenita. The diagnosis and severity of vertical talus were defined based on stress radiographs. For the deformity with spina bifida, a combination of talocalcaneal joint fusion and precise correction by soft tissue release and tendon transfer was performed. This combined surgery is effective, particularly in patients with equino-varus feet.
本研究描述了儿童足部畸形的治疗方法。采用后内侧松解术且不进行距跟关节松解术治疗的重度先天性马蹄内翻足具有灵活性和功能性。对于患有先天性多发性关节挛缩症的先天性马蹄内翻足，可能需要进行距骨切除术。垂直距骨的诊断和严重程度基于应力位X线片确定。对于患有脊柱裂的畸形，采用距跟关节融合术，并通过软组织松解和肌腱转移进行精确矫正。这种联合手术是有效的，尤其对于马蹄内翻足患者。
