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生长期内的内翻足手术治疗

Surgical treatment of metatarsus varus during the growth period.

作者信息

Dal Monte A, Manes E, Soncini G, Bandini E, Andrisano A

出版信息

Ital J Orthop Traumatol. 1982 Dec;8(4):390-6.

PMID:7183656
Abstract

The writers describe their experience in the treatment of congenital metatarsus varus. They describe an original technique for anterior transfer or shortening of peroneus brevis which they consider to be indicated when the varus deformity is less than 15 degrees and is correctable manually. They also describe Heyman's technique and give their results in twenty-five cases. They consider that this operation is indicated only for varus deformity of the forefoot exceeding 15 degrees which is correctable manually. In both these techniques it is essential that the hindfoot should be in the correct midline axis. Where manual correction of the hindfoot is not possible they advise Dillwyn Evans' operation. In varus deformity of the 1st metatarsal exceeding 15 degrees, and not correctable manually, they suggest osteotomy of the base of this bone, displacing it the correct degree and fixing it with a wedge of homoplastic bone inserted into the gap.

摘要

作者描述了他们治疗先天性内翻足的经验。他们描述了一种用于腓骨短肌前移或缩短的原创技术,他们认为当内翻畸形小于15度且可手动矫正时适用该技术。他们还描述了海曼技术,并给出了25例病例的结果。他们认为该手术仅适用于前足内翻畸形超过15度且可手动矫正的情况。在这两种技术中,后足必须处于正确的中线轴至关重要。若后足无法手动矫正,他们建议采用迪尔温·埃文斯手术。对于第一跖骨内翻畸形超过15度且无法手动矫正的情况,他们建议对该骨基部进行截骨术,将其移位至正确角度并用一块同种异体骨楔插入间隙进行固定。

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