Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.
Sultan Qaboos Univ Med J. 2022 May;22(2):288-290. doi: 10.18295/squmj.8.2021.097. Epub 2022 May 26.
Cleft foot is a congenital anomaly characterised by absence of the metatarsal bones and phalanges. It is commonly seen in children with ectrodactyly-ectodermal dysplasia-clefting syndrome ranging from a median cleft up to the mid metatarsals to a deep cleft up to the tarsal bones. Surgical treatment in the form of cleft closure, excision of the rudimentary metatarsal bone and cross K-wire fixation of metatarsal bones have been tried for the management of such cases. We report a one-year-old child who presented to the paediatric orthopaedic clinic at a medical college in New Delhi, India, in 2018 with type III cleft foot with four metatarsals. The patient was treated with a suture-button system using three transverse tunnels in the second and third metatarsal bones in order to bring them closer together. A satisfactory outcome was achieved with normal fitting footwear.
裂足是一种先天性畸形，其特征为跖骨和趾骨缺失。它常见于并指（趾）畸形-外胚层发育不良-裂腭综合征患儿，其裂隙从中间到中跖骨，到深裂隙到跗骨。对于此类病例，尝试了以裂闭合、跗骨骨切除和跖骨交叉 K 线固定的形式进行手术治疗。我们报告了一个一岁的孩子，他于 2018 年在印度新德里的一所医学院的儿科矫形诊所就诊，患有 III 型裂足，有四个跖骨。患者采用缝线纽扣系统，在第二和第三跖骨中使用三个横向隧道，使它们彼此靠近。通过正常适配的鞋具获得了满意的结果。
