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埃尔姆斯利三关节融合术治疗小儿麻痹后遗症跟骨外翻畸形的综述。

Review of Elmslie's triple arthrodesis for post-polio pes calcaneovalgus deformity.

作者信息

Faraj A A

机构信息

Orthopedic Department, Medical City, Baghdad Medical College, Iraq.

出版信息

J Foot Ankle Surg. 1995 May-Jun;34(3):319-21. doi: 10.1016/S1067-2516(09)80067-7.

Abstract

Twelve patients with residual talipes calcaneovalgus deformity due to poliomyelitis were reviewed. A two-stage Elmslie's arthrodesis was performed on nine patients with rigid deformity. Tendon transfer (peroneus brevis in one, peroneus brevis and longus in two) to the tendo Achillis insertion is used to correct the calcaneus deformity, after reduction of the calcaneus in the subtalar joint, using a Steinmann pin passed through the calcaneus. Good results were obtained in patients treated by arthrodesis. However, the deformity recurred in patients treated only with tendon transfer.

摘要

对12例因小儿麻痹症导致残留跟骨外翻畸形的患者进行了回顾性研究。对9例存在僵硬畸形的患者实施了两阶段的埃尔姆斯利关节固定术。在距下关节将跟骨复位后,使用一根斯氏针穿过跟骨,将肌腱转移(1例转移腓骨短肌,2例转移腓骨短肌和腓骨长肌)至跟腱止点,以矫正跟骨畸形。接受关节固定术治疗的患者取得了良好效果。然而,仅接受肌腱转移治疗的患者畸形复发。

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