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基于博施方法的马蹄内翻足治疗:保守及手术方面

Clubfoot therapy according to Bösch: conservative and operative aspects.

作者信息

Grill F

出版信息

Arch Orthop Trauma Surg (1978). 1984;103(5):320-7. doi: 10.1007/BF00432419.

DOI:10.1007/BF00432419
PMID:6529347
Abstract

To Bösch goes the honor of having revealed the contradictions of the classical redressment treatment as early as 1950. Bösch's method was new insofar as he exerted pressure on the calcaneus from laterally and thus intuitively corrected the most important deformity, the subtalar horizontal internal rotation. Theoretical confirmation of this subtalar rotation was only made possible by computer tomography investigations, as described herein. On the grounds of these findings, the current operative concept has to be questioned and adapted to the latest scientific findings on the pathomorphology of the clubfoot. Also reported is an operation technique which permits correction of subtalar internal rotation and simultaneous complete reduction of the navicular on the talus, including the calcaneocuboid joint.

摘要

早在1950年就揭示了经典矫正治疗方法矛盾之处的荣誉归于博施。博施的方法是新颖的,因为他从侧面压迫跟骨,从而直观地矫正了最重要的畸形——距下关节水平内旋。如本文所述,只有通过计算机断层扫描研究才有可能对这种距下旋转进行理论证实。基于这些发现,当前的手术理念必须受到质疑,并应根据马蹄内翻足病理形态学的最新科学发现进行调整。本文还报道了一种手术技术,该技术能够矫正距下内旋,并同时使舟骨在距骨上完全复位,包括跟骰关节。

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引用本文的文献

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Correction of clubfoot relapse using Ilizarov's apparatus in children 8-15 years old.使用伊利扎罗夫器械矫正8至15岁儿童的马蹄内翻足复发
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本文引用的文献

1
MODERN METHODS OF TREATMENT OF CLUB-FOOT.马蹄内翻足的现代治疗方法
Br Med J. 1937 Sep 18;2(4002):572-4. doi: 10.1136/bmj.2.4002.572.
2
[Observations on early surgery for congenital talipes equinovarus].[先天性马蹄内翻足早期手术的观察]
Nord Med. 1960 Apr 7;63:425-7.
3
[Biological fundamentals of conservative therapy of clubfoot].[马蹄内翻足保守治疗的生物学基础]
Z Orthop Ihre Grenzgeb. 1954;85(3):429-48.
4
[Surgical or conservative treatment of the clubfoot].[马蹄内翻足的手术或保守治疗]
Z Orthop Ihre Grenzgeb. 1952;83(1):8-24.
5
New concept of and approach to clubfoot treatment: section I-principles and morbid anatomy.马蹄内翻足治疗的新概念与方法:第一部分——原则与病理解剖学
J Pediatr Orthop. 1982 Oct;2(4):347-56. doi: 10.1097/01241398-198210000-00001.
6
The Cincinnati incision: a comprehensive approach for surgical procedures of the foot and ankle in childhood.辛辛那提切口:儿童足踝外科手术的综合方法。
J Bone Joint Surg Am. 1982 Dec;64(9):1355-8.
7
New concept of and approach to clubfoot treatment: Section III--evaluation and results.马蹄内翻足治疗的新概念与新方法:第三节——评估与结果
J Pediatr Orthop. 1983 May;3(2):141-8. doi: 10.1097/01241398-198305000-00001.
8
The microsurgical dissection of a stillborn fetal clubfoot.死产胎儿马蹄内翻足的显微外科解剖
Clin Orthop Relat Res. 1983 Mar(173):275-83.
9
New concept of and approach to clubfoot treatment: section II--correction of the clubfoot.
J Pediatr Orthop. 1983 Feb;3(1):10-21. doi: 10.1097/01241398-198302000-00003.
10
Medial rotational osteotomy for severe residual deformity in club foot. A preliminary report on a new method of treatment.内侧旋转截骨术治疗重度马蹄内翻足残余畸形。一种新治疗方法的初步报告。
J Bone Joint Surg Br. 1974 Feb;56(1):37-43.