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可重复性经皮跟腱松解法治疗先天性马蹄内翻足畸形

洪嘉志 吕辰玮 庄志强 林伟栋 黄庆生 沈鸿辉

中国现代医生Issue(16):65-67,3.
中国现代医生Issue(16):65-67,3.

可重复性经皮跟腱松解法治疗先天性马蹄内翻足畸形

Repeatable tendo-achilles tenotomy in the treatment for congenital club-foot

洪嘉志 1吕辰玮 1庄志强 1林伟栋 1黄庆生 1沈鸿辉1

作者信息

  • 1. 福建中医药大学附属漳州市中医院骨伤科,福建漳州 363000
  • 折叠

摘要

Abstract

Objective To explore the treatment of repeatable tendo-achilles tenotomy in Ponseti approach for congenital clubfoot. Methods Retrospective analysis of 117 patients (137 feet) with congenital clubfoot treated with serial casting in Ponseti approach from March 2008 to June 2014. A repeatable tendo-achilles tenotomy was performed on 102 pa-tients (116 feet) (84.67%) when less than 15o of ankle dorsiflexion and 70oof foot abduction. The foot-abduction brace was used postoperatively and follow-up termly. Results All of 117 patients were follow-up for 3 to 48 months, averag-ing 26.3 months. The results of 112 (131 feet) (91.97%) were satisfactory. The tendo-achilles tenotomy was performed averaged 1.4 times in the patients taken surgery. The tendon performed tenotomy were all connected and patients walk with normal gait later. Conclusion The results of the treatment of repeatable tendo-achilles tenotomy for congenital clubfoot ware satisfactory. This surgery performed in Ponseti approach will always achieve a successful result.

关键词

马蹄足/Ponseti方法/跟腱/矫形

Key words

Clubfoot/Ponseti approach/Tendo-achilles/Orthopedic

分类

医药卫生

引用本文复制引用

洪嘉志,吕辰玮,庄志强,林伟栋,黄庆生,沈鸿辉..可重复性经皮跟腱松解法治疗先天性马蹄内翻足畸形[J].中国现代医生,2015,(16):65-67,3.

基金项目

福建省中青年教师教育科研项目 ()

中国现代医生

1673-9701

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