Balaji Gopisankar, Arokiaraj Justin, Nithyananth Manasseah, Cherian Vinoo Mathew, Lee Vernon
Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry, India.
Christian Medical College, Vellore, India.
J Clin Orthop Trauma. 2020 May-Jun;11(3):432-437. doi: 10.1016/j.jcot.2019.09.005. Epub 2019 Sep 5.
Complex posttraumatic foot deformity results in painful foot, altered gait and affects cosmesis. We did a retrospective study on 16 patients to analyse the etiology, types of foot deformity and their outcomes after corrective surgery.
This retrospective study was done on a consecutive series of patients who underwent corrective surgery for complex post-traumatic foot and ankle deformities. There were 16 patients with 18 foot deformities. The duration of deformity, soft tissues, radiographic changes and measurements, type and anatomic localisation of the deformity determined the surgery needed to correct the deformity.
Among the 18 foot injuries, 16 were open injuries. Among the type of foot deformity, isolated equinus deformity was seen in 12 feet followed by equinovarus and equinocavovarus in three feet each. Seven patients needed modified footwear. None of the patients required walking aid for ambulation at the end of one year follow up.
To conclude, soft tissue injuries were the most common cause of posttraumatic foot deformities compared to bony injuries. Equinus deformity was the commonest deformity. Fifteen patients returned to their preinjury work status.
复杂创伤后足部畸形会导致足部疼痛、步态改变并影响美观。我们对16例患者进行了回顾性研究，以分析病因、足部畸形类型及其矫正手术后的结果。
本回顾性研究针对一系列连续接受复杂创伤后足踝畸形矫正手术的患者。有16例患者存在18处足部畸形。畸形持续时间、软组织情况、影像学变化及测量结果、畸形类型和解剖定位决定了矫正畸形所需的手术。
在18处足部损伤中，16处为开放性损伤。在足部畸形类型中，单纯马蹄畸形见于12足，其次马蹄内翻畸形和马蹄内收内翻畸形各见于3足。7例患者需要改良鞋具。在一年随访结束时，没有患者需要助行器辅助行走。
总之，与骨损伤相比，软组织损伤是创伤后足部畸形最常见的原因。马蹄畸形是最常见的畸形。15例患者恢复到伤前工作状态。
