摘要
目的:报告Ponseti方法治疗畸胎型马蹄内翻足的初步效果。方法:采用每周2~3次手法矫正的Ponseti方法治疗畸胎型马蹄内翻足16例25只足,其中男性9例,女性7例;左侧5例,右侧2例,双侧9例;治疗时年龄平均3个月(7 d^18个月)。结果:手法矫正及石膏固定平均10次(7~14次)后,25足均由僵硬性转变为柔软性。经平均1年(3个月~3年)的随访,22足外形正常,踝关节的背伸及跖屈功能正常,1只足跖屈畸形复发,2只足改为手术治疗。结论:增加手法矫正次数的Ponseti方法是治疗畸胎型马蹄内翻足的有效方法之一。
Objective :To describe the primary results of Ponseti method for teratologic clubfoot. Methods:Sixteen patients with 25 teratologic clubfeet were treated by the Ponseti method with 2 -3 times weekly from 2003.1 to 2006.12. Nine patients were male and seven were female. The left foot was 5, the right 2 and the bilateral 9. The average age at the time of the Ponseti method was 3 months with a range of 7 days to 18 months. Results:Stiff foot got ductility in 25 feet after the tenth (ranging 7 to 14 times) treatment of Ponseti method. At an average of one year with a range of 3months to 3 years, the contour of foot was satisfactory in 22 feet. The extension and flexion of the ankle got normal. Equinus got recurrence in one foot. Surgical release was done in 2 feet. Concluslon:The Ponseti method with increasing times weekly is one of satisfactory methods for teratologic clubfoot.
出处
《军医进修学院学报》
CAS
北大核心
2007年第6期426-427,共2页
Academic Journal of Pla Postgraduate Medical School