脑瘫固定性马蹄内翻畸形的骨科手术治疗方法
Approach to bone procedure in fixed equinovarus deformity in cerebral palsy.
作者信息
Thamkunanon V, Kamisan N
机构信息
Department of Orthopeadic Peadiatric, Queen Sirikit National of Child Health, Khwaeng Thung Phaya Thai, Khet Ratchathewi, Bangkok, 10400, Thailand.
Department of Orthopeadic, Kuala Lumpur Hospital, Jalan Pahang, 53000, Kuala Lumpur, Malaysia.
出版信息
J Orthop. 2018 Sep 26;15(4):1008-1012. doi: 10.1016/j.jor.2018.09.001. eCollection 2018 Dec.
Fixed equinovarus deformity in cerebral palsy requires bone procedures for surgical correction. We reported the outcome of surgical procedure establishing the approach to multiple osteotomy and fusion to this problem. Retrospectively, 55 feet were reviewed. Step of surgical evaluation were applied to all patients by addressing each component of equinovarus deformity. 31 feet achieved correction by multiple osteotomy. Overall 78% had good outcome and maintained plantigrade foot. This study had outlined a simple surgical step-approached procedure to address fixed equinovarus deformity in cerebral palsy with high success rates. We recommended multiple bone osteotomy to preserve joint motion.
脑瘫中的固定性马蹄内翻畸形需要进行骨手术来矫正。我们报告了针对这一问题建立多截骨术和融合术方法的手术结果。回顾性地对55只脚进行了评估。通过处理马蹄内翻畸形的每个组成部分，对所有患者应用手术评估步骤。31只脚通过多截骨术实现了矫正。总体而言，78%的患者效果良好，足部保持了负重功能位。本研究概述了一种简单的手术步骤方法，用于治疗脑瘫中的固定性马蹄内翻畸形，成功率很高。我们建议采用多骨截骨术以保留关节活动度。
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