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先天性马蹄内翻足的长期治疗结果。

Long-term results of treatment of congenital club foot.

作者信息

Laaveg S J, Ponseti I V

出版信息

J Bone Joint Surg Am. 1980 Jan;62(1):23-31.

PMID:7351412
Abstract

In seventy patients with 104 club feet that were treated at our hospital and followed for ten to twenty-seven years after treatment, the functional results were satisfactory according to our rating system in 88.5 per cent of the feet, and 90 per cent of the patients were satisfied with both the appearance and function of the club foot. However, in the majority of the patients, foot and ankle motion was limited and the talocalcaneal angles as seen on the anteroposterior and lateral roentgenograms were not fully corrected. The amount of motion in the joints of the foot and ankle and the correction of the lateral talocalcaneal angle correlated with the degree of patient satisfaction and the functional rating of the club foot. Transfer of the anterior tibial tendon to the third cuneiform appeared to prevent relapse.

摘要

在我院接受治疗的70例共104只畸形足患者中,治疗后随访10至27年,根据我们的评分系统,88.5%的足部功能结果令人满意,90%的患者对畸形足的外观和功能都感到满意。然而,大多数患者的足踝活动受限,前后位和侧位X线片上所见的距跟角未完全矫正。足踝关节的活动量以及外侧距跟角的矫正与患者满意度和畸形足的功能评分相关。胫前肌腱转移至第三楔骨似乎可防止复发。

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