摘要
目的 :探讨脑瘫、脊柱裂共同导致足部畸形的特征、诊断、及治疗。方法 :选自 12例本病患者。结果 :特征 :内翻高弓足畸形多见 ,可有病理反射 ,骨性畸形出现早。诊断 :有脑瘫病史 ,后天渐发的足部畸形 ,伴有局限性皮肤感觉障碍 ,X线片见椎弓、椎板有骨缺损。治疗 :分别行保守治疗及肌腱移位、延长、切骨矫形术。结论 :本病多为内翻高弓足畸形 ,骨性手术效果优于软组织手术。
Objective: To discuss the clinical features, diagnostic and therapeutic methods of foot deformity caused by cerebral palsy and bifid spine together. Method: 12 cases were selected talipes. Result: Clinical features: Equinovarus and talies cavus deformity were frequently seen, some of them accompanied by pathological reflex, oseous deformity appeared earlier. Principles of diagnosis: history of cerebral palsy, acquired gradually developed foot deformity, accompanied by regional paresthesia of leg or foot, spine X ray film shows bone deficit of vertebral arch and vertebral lamina. Treatment: conservative methods, translocation and elongation of muscle tendon and osteotomy were performed respectively. Conclusion: Equinovarus and talipes cavus were fequently seen in this disease, osseous operation was better than soft tissu operation.
出处
《中国矫形外科杂志》
CAS
CSCD
2000年第2期142-143,共2页
Orthopedic Journal of China
