Bridle手术治疗儿童轻度痉挛性脑瘫足畸形

THE BRIDLE PROCEDURE IN TREATMENT OF FOOT DEFORMITY IN CHILDREN WITH SLIGHT CEREBRAL SPASTIC PARALYSIS

目的 探讨 Bridle手术治疗儿童轻度痉挛性脑瘫足畸形的疗效。方法 1993年 2月～ 1999年 4月 ,应用 Bridle手术治疗儿童轻度痉挛性脑瘫足畸形 32例 5 7足。男 2 0例 ,女 12例。年龄 4～ 14岁 ,平均为 7.5岁。双侧足畸形 2 5例 ,单足畸形 7例 ;呈尖足行走 15例 2 6足 ,马蹄内翻足畸形 8例 13足 ,剪式步态 9例 18足。结果随访 6～ 74个月 ,平均 38个月。畸形完全纠正 48足 ,占 84.2 % ,畸形复发 7足 ,占 12 .3% ,并发足外翻畸形 2足 ,占3.5 %。结论 Bridle术式操作简便 ,能较好地纠正足畸形 。

Objective To evaluate the effectiveness of the Bridle procedure in treatment of foot deformity in children with slight cerebral spastic paralysis. Methods From February 1993 to April 1999, 32 cases with 57 deformed feet, due to slight cerebral spastic paralysis, which included 20 males and 12 females, ranging from 4 to 14 years old, were reported after 6 to 74 months' follow-up, averaging 38 months. Bilateral feet were involved in 25 cases and unilateral feet involved in 7 cases. The deformities in all feet, including 26 feet of acroceph-foot deformity in 15 cases, 13 equinovarus deformity in 8 cases and 18 scissors gait deformity in 9 cases, were treated by Bridle procedure, followed by temporal external fixation of long-leg plaster splint for 6 to 8 weeks. Results Clinical observation revealed complete and permanent correction of deformity in 48 out of all 57 feet (84.2%), reoccurrence of deformity in 7 feet (12.3%), and occurrence of valgus deformity in 2 feet (3.5%). No joint stiffness was observed. Conclusion The Bridle procedure is an easily performed operation and effective in the treatment of foot deformity in children with slight cerebral spastic paralysis.