先天性马蹄内翻足合并同侧小腿远端环状束带的治疗

Therapeutic Method of Congenital Talipe Equino Varus Complicated With Same Lateral Leg Distal Circular Constriction Band

目的探讨先天性马蹄内翻足合并小腿环状束带的治疗方法。方法对7例患儿共12足进行手术治疗,马蹄内翻足的矫治均采用改良Turco手术,根据环状束带的严重程度确定手术方法。结果Ⅰ期手术治疗4例共7足,5足临床效果满意;伤口皮肤裂开2足,并且出现足畸形反弹。分期手术3例共5足,1例双足畸形先行马蹄内翻足矫治,结果出现束带部位伤口裂开,足的矫正效果回弹;另3足先行环状束带松解,2足临床效果满意,1足尚未行Ⅱ期马蹄内翻足矫治。结论对于Ⅰ型和Ⅱ型环状束带可Ⅰ期手术治疗,手术后应进行高压氧治疗;Ⅲ型环状束带应该分期手术,先进行环状束带松解,再进行马蹄内翻足矫治。

Objective To research a therapeutic method of congenital talipe equino varus complicated with leg circular constriction band. methods Altogether 12 feet in 7 cases of infants affected from the congenital deformity were operatively treated.Improved Turco corrective operation was applied to treat all talipe equino varus.According to severe degree of the circular constriction band,then determined an operation model. Results The orthopedic procedue stage I had 7 feet ahogether,5 feet of them obtained satisfactory outcome,skin of 2 feet occurred split out,and ap- peared rebound,other 3 feet of circular condtriction band first had a loose operation,2 feet obtained satisfactory clinical effect,one foot to be treated with the operation stage Ⅱ. Conclusion Circular constriction band type Ⅰ and type Ⅱ can be treated with operation stage Ⅰ ,than these patients received hyperbarc oxygen therapy immediately.For type re,the circular constriction band should be operated according to phasing of the congenital circular constriction band,then could correct the talipe equino varus.