Minimally invasive surgery combined with external fixation for the treatment of congenital vertical talus preliminary report of 3 cases.doc

 PAGE \* MERGEFORMAT 14 Minimally invasive surgery combined with external fixation for the treatment of congenital vertical talus preliminary report of 3 cases Of: Zhang Zhigang Wang Yu Huang Wu Wantong Dawei Li, its regular research [Abstract] [Objective] The use of minimally invasive surgery combined with external fixation of cantilevered foot method of treatment of congenital vertical talus and effect. [Method] medial to the center from the bones, transverse incision, cut the joint capsule, the way reduction, correction of about 30 ° ~ 40 °, that is part of the talonavicular joint reduction and away from the bone at the rampant through a 1.5 mm diameter Kirschner wire is connected with the external fixator. slow stretch after the talus using vertical bar reset, reset with external fixator for 6 weeks, 6 weeks after the switch to cast brake for 2 months. to wear corrective shoes after the cast. [Results] 3 patients were followed up for an average of 4 feet 62 months (6 ~ 86 months) by Adelaar evaluation criteria and the full lateral X-ray observations as indicators. after 4 feet joints were obtained from the boat completely reset, full weight-bearing function was normal. ankle joint and the transverse tarsal joint function was normal 1 case still wear orthopedic shoes. [ Conclusion] without extensive soft tissue release, limited minimally invasive surgery, external fixation application can be restored slowly pulling away from the boat dislocation, trauma of the method, after reaction to light, less complications and treatment of CVT is a new choice. [Keywords:] Minimally invasive surgery of congenital vertical talus external fixator Congenital vertical talus (congenital vertical talus, CVT) is rare in the talus as the center of foot deformities. Theodor Essau first described in 1856 CVT pathological anatomy, Henken rocking chair in 1914, this kind of clinical and foot deformity Radiology description. The basic pathological changes of congenital di