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先天性多发性关节挛缩症中足踝的管理

The management of the foot and ankle in arthrogryposis multiplex congenita.

作者信息

Drummond D S, Cruess R L

出版信息

J Bone Joint Surg Br. 1978 Feb;60(1):96-9. doi: 10.1302/0301-620X.60B1.627587.

DOI:10.1302/0301-620X.60B1.627587
PMID:627587
Abstract

Sixty-six deformities of the foot and ankle in forty-two patients with arthrogryposis multiplex congenita were reviewd. Pes equinovarus proved particularly difficult to treat as there was a tendency for the deformity to recur because of the thick and rigid capsule. Intracapsular procedures were more successful than those done adjacent to the joint. Wide capsulotomy or talectomy were the best procedures under the age of three years and triple arthordesis was most successful for the older child.

摘要

回顾了42例先天性多发性关节挛缩症患者的66处足踝畸形。马蹄内翻足治疗起来特别困难,因为增厚且僵硬的关节囊有导致畸形复发的倾向。关节囊内手术比关节旁手术更成功。在三岁以下儿童中,广泛的关节囊切开术或距骨切除术是最佳手术方法,而三关节融合术对年龄较大的儿童最为成功。

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