罕见双叉距骨及八趾中央多指畸形的六年随访：一例报告
Six-Year Follow-Up of a Rare Bifid Talus and Eight-Toed Central Polydactyly: A Case Report.
作者信息
Yao Manye, Cheng Weyland, Liu Fangna, Wang Junjian, Liu Jiaojing
机构信息
Department of Orthopedic Surgery, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, 33 Longhu Waihuan East Road, Zhengzhou, 450018 Henan China.
Henan Provincial Key Laboratory of Children's Genetics and Metabolic Diseases, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, China.
出版信息
Indian J Orthop. 2022 Mar 29;56(6):1096-1100. doi: 10.1007/s43465-022-00614-7. eCollection 2022 Jun.
Eight-toed central polydactyly is a rare congenital foot deformity and no other case with a bifid talus has been reported in the literature. We present a 6-year follow-up of a male child who had eight-toed central polydactyly with a duplicate cuneiform bone and bifid talus in his right foot. During preoperative planning, CT scans were conducted to evaluate the duplicate tarsals and to assist in reaching surgical decisions. In 2013, when the child was 1 year and 8 months old, the fourth, fifth and sixth phalanges and metatarsals as well as the duplicate cuneiform bone were excised. A portion of the malformed talus was also resected. This case report discusses functional and aesthetic outcomes after 6 years and provides an analysis on relevant reconstructive follow-up practices.
八趾中央多指畸形是一种罕见的先天性足部畸形，文献中尚未报道过其他伴有双裂距骨的病例。我们对一名男性儿童进行了6年随访，该患儿右足患有八趾中央多指畸形，伴有一块重复的楔骨和双裂距骨。在术前规划过程中，进行了CT扫描以评估重复的跗骨，并协助做出手术决策。2013年，该患儿1岁8个月时，切除了第四、第五和第六趾骨、跖骨以及重复的楔骨。还切除了一部分畸形距骨。本病例报告讨论了6年后的功能和美学结果，并对相关的重建随访做法进行了分析。
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