临床小儿外科杂志2024，Vol.23Issue(11)：1019-1022,4.DOI:10.3760/cma.j.cn101785-202409051-004
胫骨远端前侧半骨骺阻滞术治疗儿童僵硬性马蹄内翻足矢状面跖屈畸形的短期效果
Short-term efficacy of anterior distal tibial semi-epiphyseal block in treating sagittal plantar flexion de-formity in children with equionvarus foot
摘要
Abstract
Objective To evaluate the short-term effects of anterior distal tibial semi-epiphyseal block surgery in treating sagittal plantar flexion deformity in children with equinovarus foot.Methods A retrospec-tive analysis of the data of children with equinovarus foot treated with anterior distal tibial semi-epiphyseal block at Hunan Children's Hospital from February 2018 to March 2022.The preoperative and intraoperative angles of ankle dorsiflexion and anterior distal tibial angle(ADTA)on lateral X-rays were recorded,along with the oc-currence of complications.Results A total of 5 cases(7 feet)were included,all male,with an average age of 10 years and 4 months(range:7 years and 11 months to 12 years and 4 months).The average duration of internal fixation was 26.2 months(range:15 to 36 months).All 5 cases achieved a plantigrade foot.The preoperative AD-TA was(87.43±3.15)°,and the ADTA at the time of internal fixation removal was(72.43±5.56)°,with a statistically significant difference(P＜0.05);the preoperative ankle dorsiflexion was(-15.00±14.72)°,and at the time of internal fixation removal,it was(14.29±8.86)°,also with a statistically significant difference(P＜0.05).One case experienced screw loosening,but no cases had complications such as internal fixation frac-ture,infection,ankle subluxation,or bridge formation.Conclusions Anterior distal tibial semi-epiphyseal block surgery demonstrates good short-term efficacy in treating sagittal plantar flexion deformity in children with equinovarus foot.关键词
半骨骺阻滞/僵硬性马蹄足/外科手术/儿童Key words
Semi-Epiphyseal Block/Equinovarus Feet/Surgical Procedures,Operative/Child引用本文复制引用
王军,谭谦,叶卫华,唐进,梅海波,莫莎莎,杨翔宇,赵鼎,蔡豪杰,聂玉婷,朱光辉,杨戈,刘昆,严安..胫骨远端前侧半骨骺阻滞术治疗儿童僵硬性马蹄内翻足矢状面跖屈畸形的短期效果[J].临床小儿外科杂志,2024,23(11):1019-1022,4.基金项目
儿童骨科学湖南省重点实验室(2023TP1019) （2023TP1019）
芙蓉实验室科技项目(2023SK2111) （2023SK2111）
湖南省儿童肢体畸形临床医学研究中心(2019SK4006) Hunan Provincial Key Laboratory of Pediatric Orthopedics(2023TP1019) （2019SK4006）
Science and Technology Project of Furong Laboratory(2023SK2111) （2023SK2111）
Hunan Provincial Clinical Medical Research Center for Pediatric Limb Deformities(2019SK4006) （2019SK4006）
