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采用旋转皮瓣和广泛软组织松解术治疗顽固性马蹄内翻足的手术管理。

The surgical management of resistant club foot by rotation skin flap and extensive soft tissue release.

作者信息

Mittal R L

出版信息

Int Orthop. 1987;11(3):189-92. doi: 10.1007/BF00271446.

DOI:10.1007/BF00271446
PMID:3623754
Abstract

Resistant club foot remains an unsolved problem because of the complex aetiological and pathological factors, and is still seen quite frequently, especially in developing countries. The posteromedial skin contracture is a potent deforming force which is responsible for many failures or relapses. I report the results of an operation in which a rotation skin flap was combined with an extensive soft-tissue release. The age of the children was from 9 months to 10 years. The follow-up period was from one to 9 years with an average of 43 months, and in 50 cases for more than 5 years. I consider that the outcome has been excellent or good in 94 out of 100 feet.

摘要

由于病因和病理因素复杂,难治性马蹄内翻足仍然是一个尚未解决的问题,并且仍然相当常见,尤其是在发展中国家。后内侧皮肤挛缩是一种强大的致畸形力,它导致了许多治疗失败或复发。我报告了一项手术的结果,该手术将旋转皮瓣与广泛的软组织松解相结合。患儿年龄为9个月至10岁。随访时间为1至9年,平均43个月,50例随访超过5年。我认为100只足中有94只的治疗效果为优或良。

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引用本文的文献

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本文引用的文献

1
Tibialis anterior transfer in congenital club foot.先天性马蹄内翻足的胫前肌转移术
J Bone Joint Surg Br. 1958 May;40-B(2):252-5. doi: 10.1302/0301-620X.40B2.252.
2
Correction of resistant adduction of the forefoot in congenital club-foot and congenital metatarsus varus by metatarsal osteotomy.通过跖骨截骨术矫正先天性马蹄内翻足和先天性跖骨内翻中前足的顽固性内收。
Br J Surg. 1966 Jun;53(6):558-60. doi: 10.1002/bjs.1800530613.
3
A method of assessing correction in club feet.
J Bone Joint Surg Br. 1966 Feb;48(1):40-50.
4
Metatarsal osteotomy for the correction of adduction of the fore part of the foot in children.跖骨截骨术用于矫正儿童足部前部内收。
J Bone Joint Surg Am. 1971 Apr;53(3):498-506.
5
Surgical correction of the resistant club foot. One-stage posteromedial release with internal fixation: a preliminary report.
J Bone Joint Surg Am. 1971 Apr;53(3):477-97.
6
Tarsometatarsal mobilization for resistant adduction of the fore part of the foot. A follow-up study.跗跖关节松动术治疗足部前段顽固性内收:一项随访研究
J Bone Joint Surg Am. 1970 Jan;52(1):61-70.
7
Clubfoot: History of the development and the concepts of pathogenesis and treatment.马蹄内翻足:发展历程、发病机制及治疗理念
Clin Orthop Relat Res. 1966 Jan-Feb;44:51-63.
8
Nonoperative treatment of congenital clubfoot.先天性马蹄内翻足的非手术治疗
Clin Orthop Relat Res. 1972 May;84:29-38. doi: 10.1097/00003086-197205000-00007.
9
The history of conservative and surgical methods of clubfoot treatment.先天性马蹄内翻足保守和手术治疗方法的历史。
Clin Orthop Relat Res. 1972 May;84:25-8. doi: 10.1097/00003086-197205000-00006.
10
Relapsing club feet. Late results of delayed operation.复发性马蹄内翻足。延迟手术的远期结果。
J Bone Joint Surg Br. 1979 Nov;61-B(4):474-80. doi: 10.1302/0301-620X.61B4.500760.