CAJ | 학술논문

目的应用微型骨锚重建转移的胫骨前肌止点矫形垂直距骨,探讨此法对降低婴幼儿先天性垂直距骨症术后早期复发率和距骨坏死率的临床价值.方法自2006年2月至2008年3月,应用肌力平衡理论在Kumar手术方法的基础上,将胫前肌止点后移微型骨锚固定一次性治疗婴幼儿先天性垂直距骨症7例9足,平均手术年龄18个月,术后长腿管型石膏固定,12周后拔除克氏针, 更换小腿管形石膏继续固定6周.结果平均随访时间术后24个月,7例9足先天性垂直距骨症患儿, 足外观良好,X线片检查无复发及距骨坏死,远期效果待观察.结论应用微型骨锚重建转移的胫骨前肌止点矫形垂直距骨治疗婴幼儿先天性垂直距骨症,能进一步降低一次手术的早期复发率和距骨坏死率.
목적 응용미형골묘중건전이적경골전기지점교형수직거골,탐토차법대강저영유인선천성수직거골증술후조기복발솔화거골배사솔적림상개치.방법 자2006년2월지2008년3월,응용기력평형이론재Kumar수술방법적기출상,장경전기지점후이미형골묘고정일차성치료영유인선천성수직거골증7례9족,평균수술년령18개월,술후장퇴관형석고고정,12주후발제극씨침, 경환소퇴관형석고계속고정6주.결과 평균수방시간술후24개월,7례9족선천성수직거골증환인, 족외관량호,X선편검사무복발급거골배사,원기효과대관찰.결론 응용미형골묘중건전이적경골전기지점교형수직거골치료영유인선천성수직거골증,능진일보강저일차수술적조기복발솔화거골배사솔.
Objective To investigate the short-term effect of mini anchor in treatment of congenital vertical talus in infants.Methods Nine feet in seven patients with congenital vertical talus CVT were reviewed.The average age at surgery was 18 months.All patients were operated following Kumar 's Method.The anterior tibial muscle was fixed to the head of vertical talus with mini-bone-anchor.A long-leg cast was applied for 12 weeks.A short-leg cast was worn for an additional 6 weeks after the K-wire was removed.Results The seven patients were followed-up for 24 months.The shape of the feet was good with no recurrence or talus necrosis.Long-term result is pending.Conclusions With the mini anchor, the rate of early recurrence and talus necrosis after correction of congenital vertical talus in infants were decreased.