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关节挛缩症中马蹄足的跗骨切除术

Talectomy for club foot in arthrogryposis.

作者信息

Hsu L C, Jaffray D, Leong J C

出版信息

J Bone Joint Surg Br. 1984 Nov;66(5):694-6. doi: 10.1302/0301-620X.66B5.6501362.

DOI:10.1302/0301-620X.66B5.6501362
PMID:6501362
Abstract

Talectomy was performed on 10 patients (15 feet) for club foot deformity in arthrogryposis multiplex congenita. These were reviewed after an average follow-up of eight years. At follow-up nine feet were plantigrade, and six had less than 15 degrees residual equinus at the ankle. All the feet were asymptomatic but had mild residual adduction of the forefoot and marked stiffness of the hindfoot. Seven feet developed spontaneous bony ankylosis in the tibiotarsal joint. The common technical errors were incomplete removal of the talus and incorrect positioning of the calcaneus in the ankle mortise.

摘要

对10例(15足)先天性多发性关节挛缩症所致马蹄内翻足畸形患者施行了距骨切除术。平均随访8年后对这些病例进行了复查。随访时,9足呈平足,6足踝关节残留马蹄畸形小于15度。所有足均无症状,但前足有轻度残留内收,后足有明显僵硬。7足在胫距关节出现自发性骨性融合。常见的技术失误是距骨切除不完全以及跟骨在踝关节 mortise 中的位置不正确。

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Talectomy for club foot in arthrogryposis.关节挛缩症中马蹄足的跗骨切除术
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Talectomy for arthrogryposis multiplex congenita.先天性多发性关节挛缩症的跗骨切除术
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