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胫后肌移植治疗马蹄足畸形和畸形足(作者译)

[Transplantation of the posterior tibial muscle for treatment of Equinus deformity of the foot and club foot (author's transl)].

作者信息

Mau H

出版信息

Z Orthop Ihre Grenzgeb. 1980;118(3):385-90. doi: 10.1055/s-2008-1053521.

Abstract

The transplantation of the posterior tibial muscle to the dorsal aspect of the foot perforating the interosseous membrane, in the presence of intact muscle function is indicated for the treatment of equinus deformity of the foot following trauma, for flaccid and even spastic paralyses as well as for recurrences of club feet. Contractures of the foot ought to be corrected beforehand. Further requirements for getting good results are the insertion of the tendon close to the middle of the dorsum of the foot in order to prevent an overcorrection, eventually physiotherapy and the use of a night splint as well as a regular follow up. The experiences with 8 feet operated on are confronted with the literature stressing certain operative detals. This procedure deserves a wider application with correct indication and evaluation of the transplants.

摘要

在肌肉功能完好的情况下,将胫后肌移植至足部背侧并穿过骨间膜,适用于治疗创伤后足马蹄畸形、弛缓性甚至痉挛性麻痹以及马蹄内翻足复发。足部挛缩应预先矫正。要取得良好效果的其他要求包括将肌腱插入靠近足背中部的位置以防止过度矫正,最终还需要物理治疗、使用夜间夹板以及定期随访。对8例接受手术的足部病例的经验与强调某些手术细节的文献进行了对比。该手术在正确把握适应症和评估移植效果的情况下值得更广泛应用。

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