Beaty J H
Campbell Clinic, Memphis, Tennessee.
Curr Opin Pediatr. 1993 Jun;5(3):368-73. doi: 10.1097/00008480-199306000-00021.
The literature of the past year increased our understanding of the etiology of some common lower leg disorders in children, and increased our knowledge about the results and complications of some old and new treatment methods. Histochemical and vascular studies and magnetic resonance imaging were used to study the etiology and treatment of congenital clubfoot. Results of early intervention protocols and the ilizarov method were reported. Undercorrection at primary surgery was identified as a major reason for reoperation. Excision of the coalition with interposition of fat or tendon produced good results in selected children with middle facet talocalcaneal coalition. A footprint-measuring system can differentiate among a normal foot, a flexible flatfoot, and a rigid flatfoot. Classification of metatarsus adductus was questioned, and polydacytyly of the foot was classified in detail. The treatment of leg length discrepancy and angular deformities by osteotomy, hemiepiphysiodesis, and external fixation techniques was described. Several treatments were reported for congenital pseudarthrosis of the tibia. In all, the reports of the past year offer hope for improving the results of treatment by better understanding, innovative surgical techniques, and better methods to determine timing of surgery and predicting results.
过去一年的文献增进了我们对儿童一些常见小腿疾病病因的理解，也增加了我们对一些新旧治疗方法的结果及并发症的了解。组织化学和血管研究以及磁共振成像被用于研究先天性马蹄内翻足的病因和治疗。报告了早期干预方案和伊里扎洛夫方法的结果。初次手术矫正不足被确定为再次手术的主要原因。在选定的患有中关节面距跟联合的儿童中，切除联合并植入脂肪或肌腱取得了良好效果。一种足迹测量系统可以区分正常足、柔性扁平足和刚性扁平足。跖骨内收的分类受到质疑，足部多指畸形得到了详细分类。描述了通过截骨术、半骨骺阻滞术和外固定技术治疗肢体长度差异和角畸形。报告了几种治疗先天性胫骨假关节的方法。总体而言，过去一年的报告为通过更好的理解、创新的手术技术以及更好的确定手术时机和预测结果的方法来改善治疗结果带来了希望。
