临床小儿外科杂志2024，Vol.23Issue(9)：837-840,4.DOI:10.3760/cma.j.cn101785-202310043-007
关节镜下腓肠肌腱膜松解术治疗痉挛性马蹄足畸形
Arthroscopic gastrocnemius aponeurotic release for the treatment of spastic equinus deformity
摘要
Abstract
Objective To evaluate the clinical efficacy of arthroscopic gastrocnemius aponeurotic release in the treatment of spastic equinus deformity.Methods A retrospective analysis was conducted on the clinical data of 17 pediatric patients with spastic equinus deformity who underwent arthroscopic gastrocnemius aponeu-rotic release in the Department of Orthopedics at Hunan Children's Hospital from December 2020 to November 2022.The maximum passive dorsiflexion angle of the ankle joint and the duration of surgery were measured pre-operatively,at 2 weeks,3 months,and 1 year postoperatively.Postoperative complications such as wound infec-tion,decreased plantarflexion strength,and painful scars around the wound were observed.Results A total of 17 cases(21 feet)were included in the study,with 10 males and 7 females;4 cases were bilateral,11 were left-si-ded,and 2 were right-sided.The average age at surgery was 75.2±25.3 months.The average surgery duration was 25±3.6 minutes.The preoperative maximum passive dorsiflexion angle of the ankle joint was-11.62±5.74°,which improved to 11.62±1.98° at 2 weeks postoperatively.11.52±1.89° at 3 months postoperatively,and 12.76±3.51° at 1 year postoperatively.The differences between the preoperative and postoperative maximum passive dorsiflexion angles at 2 weeks,3 months,and 1 year were statistically significant(P＜0.05).No cases of wound infection,significant decrease in ankle plantarflexion strength,sural nerve palsy,or painful scars around the wound were observed postoperatively.Conclusions Arthroscopic gastrocnemius aponeurotic release is a safe and effective treatment for spastic equinus deformity,though long-term outcomes require further follow-up.关键词
马蹄足畸形/痉挛/腓肠肌/肌腱松解术/关节镜手术Key words
Equinus Deformity/Spasm/Gastrocnemius/Tenotomy/Arthroscopy引用本文复制引用
肖保辉,赵卫华,朱光辉,严安,肖汉,雷霆,刘政,蔡豪杰,刘昆,叶卫华,唐进,梅海波..关节镜下腓肠肌腱膜松解术治疗痉挛性马蹄足畸形[J].临床小儿外科杂志,2024,23(9):837-840,4.基金项目
儿童骨科学湖南省重点实验室,湖南省卫健委科研课题(20200021) Key Laboratory of Pediatric Orthopedics of Hunan Province,Research Project of Health Commission of Hunan Province(20200021) （20200021）
