摘要
目的总结胫前肌腱转位术治疗复发性马蹄内翻足的临床经验。方法回顾性分析自2004年9月至2007年3月对潘塞缇疗法治疗后复发的马蹄内翻足18例31足采取胫前肌腱转位术治疗,研究具体复发类型及治疗效果。结果所有病例均得到随访,平均11.7个月。结果参照Garceau标准进行评定:优15例26足;良3例5足。优良率100%。结论采用胫前肌腱转位术治疗复发性马蹄内翻足切实有效,但是对于部分复发类型的病例仍需支具辅助。
【Objective】To summarize the clinical experience of the treatment of relapse clubfoot by transfer of tibialis anterior tendon.【Method】Analyzed 18 cases(31 feet) relapse clubfeet after Ponseti management and then by transfer of tibialis anterior tendon,from sep.2004 to mar.2007,retrospectively.The specific main relapsing types along with their therapeutic effect was evaluated.【Results】All cases had a review of 11.7 monthes average.The therapeutic effect,assessed by the Garceau standard,26 feet of 15 cases was excellent and 5 feet of 3 cases good.【Conclusion】The procedure transfering of tibialis anterior tendon to the middle or the lateral cuneiform is effective for relapse clubfoot,except for a few cases of special relapsing types which need brace assistance additionally.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2010年第9期1383-1385,共3页
China Journal of Modern Medicine
关键词
马蹄内翻足
复发
胫前肌腱转位术
clubfoot
relapse
transfer of tibialis anterior tendon