摘要
目的 :本文阐述了足跗骨形态变化产生的病理基础 ,旨在对临床医生选择更合理的治疗方法提供理论依据。方法 :本文通过大量胎足血管灌注研究及对大量手术后远期足部X线片进行分析 ,对骨骼形态进行了对比分析。结果 :(1)观察了软骨管的发育情况 ,胎龄增加 ,软骨管亦随之增多 ;(2 )观察了距、舟、跟骨的血运分布及来源 ;(3 )按手术术式及年龄对跗骨形态进行了比较 ,胫前肌外移术式组骨骼改变率最低 ,1岁以下手术 ,骨骼畸变率最低。机械性压力不容忽视 ,石膏固定及石膏褥疮的发生率与骨骼畸变有直接关系。结论 :1岁以下手术是治疗先天性马蹄内翻足的最佳年龄 ,胫前肌外移术对血运破坏最小 ,是较为合理的治疗方法。
Objective: To recommend a better theraputic method for congenital clubfoot (CCF), this article illustrates the pathological basis of the tarsal morphologic changings. Method: Through a lot of fetal feet vascular blood infusion research and long-term x-ray analysis after operations, the tarsal bones were grouped and analyzed contrastively based on their morphology. Result: (1) As the fetal age adds the number of cartilaginous tubes increases correlatively. (2) Observing and gaining foot vascular distributions and their origins. (3) According to the operation type and undertaking age, the deformative rate is lower both in tibialis anterior tendon transfer group and in before one-year group. Otherwise mechanical pressure such as cast fixation and cast pressure sore directly influences the deformative occurrence. Conclusion: The best time for correction of congenital clubfoot is before one year old and as a reasonable therapeutic method, tibialis anterior tendon transfer minimizes the destructions of the foot blood supply.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第7期629-632,共4页
Orthopedic Journal of China
