摘要
目的:探讨协同手法与动态固定治疗婴幼儿先天性马蹄内翻足的疗效。方法:在渐进手法矫正下同步按摩挛缩筋肉,令其松解舒展。先扳正前足内收、内翻及跟内翻,将被扳正足固定于小腿外侧木板上。矫正后撤除外侧木板,上有塔形足弓垫底板,下拉足跟背屈全足,矫正跖屈;后固定全足于背屈、外展、外翻及跟外翻位,待足及踝关节表现反畸生理活动时,撤除外固定,并勤于反畸功能活动。结果:疗程最短27d,最长139d。全部获得随访,均无返畸复僻。优良率占98.55%,治愈率达100%,外观、功能正常,无不适。结论:以协同手法动态固定治疗婴幼儿先天性马蹄内翻足,有着治愈率高,无后遗症;施法简便,疗程短,花费少;微创美观,安全可靠的优点。
Objective： To analyze the effect of the treatment of a collaborative approach-dynamic fixation to the infant＇s congenital talipes equinovarus. Methods： Under the gradual manual correction, massage the contractive muscle to make it lytic and unfold. First, correct the propes＇ adduction, inversion, and heel inversion. And then fix the corrected foot to the Ectocnemial plank. The cured lateral plank was removed. With the pyramid arch pad above and the whole foot with heel and the dorsifl down, the plantar flexion is corrected. Then fix the whole foot as the pose of the dorsifl, abduce, ecstrophy, and heel ecstrophy. When the propes and ankle joints displayed the physiological functions, remove the external fixation and after do the functional activities. Result： The shortest course of treatment was 27 days, and the longest one was 139 days. And all the follow-up was acquired. No one returned to abnormal. The fineness rate was 98.55% and the cure rate was 100%. Appearance and the function were normal. There were no complaints. Conclusions： The treatment to the infant＇s congential talipes equinovarus by the collaborative approach--dynamic fixation has a high cure rate and no sequelae. This approach is easy, and the course of treatment is short with low cost. And the injury is subtle, remaining the beautiful appearance. It＇s safe and reliable, avoiding the tedious treatment and reduce the spend, etc.
出处
《中国中医骨伤科杂志》
CAS
2007年第11期6-9,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
先天性马蹄内翻足
筋骨
协同手法
动态固定
Congential talipes equinovarus
Tendon
Collaborative approach
Dynamic fixation
