Clubfoot deformity treatment of 36 cases.docVIP

 PAGE \* MERGEFORMAT 9 Clubfoot deformity treatment of 36 cases [Keywords:] equinus varus deformity, polio sequelae, surgical correction Clubfoot is a common serious impact of pediatric orthopedics morphology and function of children with foot deformities. Clinical manifestations: forefoot adduction, heel varus, ankle and tibia horseshoe-bit internal rotation. The incidence rate is about 1 , boys, girls, 2 times, one side a little more than bilateral. its not yet clear cause, treatment methods more, but the effects are not very good. in our hospital from February 2000 ~ March 2005 treated 9 months to 12 years and 8 months, 36 cases of sick children, the report is summarized as follows. Materials and Methods 1. Clinical Data in this group of clubfoot deformity in 36 cases, 52 feet, 20 males and 16 females, aged 9 months to 12 years and 8 months, including congenital clubfoot in 24 cases, polio sequelae clubfoot deformity caused 12 cases. preoperative anterior tibial muscle strength 5 25 cases, 11 cases of grade 4. peroneus longus, brevis 21 cases of grade 0, 1 ~ 2 in 15 cases. 32 of them combined Achilles tendon contracture cases of tibial internal rotation deformity in 2 cases. by conservative treatment in 6 cases, 30 cases of conservative treatment without. 2. Treatment of 36 patients were treated with 4 kinds of surgical procedures: cut the plantar fascia medial soft tissue release, tendon extension in 5 cases, 7 feet, and the remaining surgical procedures were based on the surgical, add as Following surgery, posterior tibial, anterior tibial tendon of semitendinosus knit stitch shift precedes the third cuneiform, the talonavicular, subtalar joint reduction and internal fixation in 9 cases, 14 feet, tibial tendon half of peroneus brevis tendon displacement tendon braided suture, talonavicular, subtalar joint reduction and internal fixation in 13 cases, 17 feet, tibial tendon anterior tibial tendon of semitendinosus shift and the peroneus br