Congenital clubfoot long-term efficacy of combined surgery.docVIP

 PAGE \* MERGEFORMAT 8 Congenital clubfoot long-term efficacy of combined surgery [Abstract] [Objective] combined surgical treatment of congenital clubfoot in the long term effect. [Methods] 102 patients with congenital clubfoot in children by cutting the Achilles tendon, the medial soft tissue release, plantar fasciotomy, the relocation of the anterior tibial muscle and other joint surgical and external fixation with plaster cast. [Results] followed by 5 to 13 years, mean follow up 9.8 years, according to Garceau’s criteria for evaluation, excellent rate of 97.1%. [ Conclusion] The combined surgical treatment of congenital clubfoot in children is effective, results were satisfactory. [Keywords:] congenital clubfoot, joint surgery, long-term, efficacy Congenital clubfoot treatment range, the Court since March 1991 ~ July 2002 a joint operation plus external fixation with plaster cast treatment of 102 cases 143 feet, the long-term follow-up observation, the effect is satisfactory. 1 Clinical data 1.1 General Information The group of 102 patients (143 feet, male 67 cases (97 feet and 35 female patients (46 feet, age 7 months to 2.5 years, mean 1.1 years, mostly through the different levels of manual therapy, check the feet are foot plantar flexion and inversion, internal rotation deformity and so on. 1.2 Treatment 1.2.1 Surgical procedures (1 Achilles tendon cut: foot dorsiflexion, the Achilles tendon tension in the calcaneal tubercle of about 1 cm at the side of the Achilles tendon with a knife piercing the edge after the flip turn its transverse cut Achilles tendon, so that dorsal extended beyond its borders up to the ankle 90 °. (2 plantar fasciotomy: front foot dorsiflexion, plantar fascia tension so that, from the medial plantar calcaneal tubercle plantar fascia, close to pierce a knife to cut off the heel rampant. (3 medial soft tissue release: the dorsal anterior medial longitudinal incision made to expose and cut the release fro