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先天性垂直距骨:切开复位及舟骨切除治疗

Congenital vertical talus: treatment by open reduction and navicular excision.

作者信息

Clark M W, D'Ambrosia R D, Ferguson A B

出版信息

J Bone Joint Surg Am. 1977 Sep;59(6):816-24.

PMID:908706
Abstract

Twelve patients with sixteen feet showing true congenital vertical talus were treated at Children's Hospital of Pittsburgh by excision of the navicular as an adjunct to open reduction. When these children were evaluated two to fifteen years after naviculectomy, all were asymptomatic and fully active. Except for one Achilles-tendon lengthening (three months after naviculectomy), none had required further surgical procedures. Fifteen feet were examined in detail. Assessed on an anatomical basis, three of the feet were excellent; seven, good; four, fair; and one, poor. The best results were obtained in the patients who were eighteen months old or younger at the time of operation.

摘要

匹兹堡儿童医院对12例患有16只真性先天性垂直距骨的患儿,采用切除舟骨作为切开复位辅助手段进行治疗。当这些患儿在舟骨切除术后两至十五年接受评估时,均无症状且活动完全正常。除1例跟腱延长术(舟骨切除术后三个月)外,无人需要进一步手术治疗。对15只足进行了详细检查。基于解剖学评估,其中3只足为优;7只为良;4只为中;1只为差。手术时年龄在18个月及以下的患者取得了最佳效果。

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