Wang Jun,Yang Xiangyu,Zhao Ding,et al.Short-term efficacy of anterior distal tibial semi-epiphyseal block in treating sagittal plantar flexion deformity in children with equionvarus foot[J].Journal of Clinical Pediatric Surgery,,():1019-1022.[doi:10.3760/cma.j.cn101785-202409051-004]
Short-term efficacy of anterior distal tibial semi-epiphyseal block in treating sagittal plantar flexion deformity in children with equionvarus foot
- Keywords:
- Semi-Epiphyseal Block; Equinovarus Feet; Surgical Procedures; Operative; Child
- Abstract:
- Objective To evaluate the short-term effects of anterior distal tibial semi-epiphyseal block surgery in treating sagittal plantar flexion deformity in children with equinovarus foot. Methods A retrospective analysis of the data of children with equinovarus foot treated with anterior distal tibial semi-epiphyseal block at Hunan Children’s Hospital from February 2018 to March 2022.The preoperative and intraoperative angles of ankle dorsiflexion and anterior distal tibial angle (ADTA) on lateral X-rays were recorded,along with the occurrence of complications. Results A total of 5 cases (7 feet) were included,all male,with an average age of 10 years and 4 months (range:7 years and 11 months to 12 years and 4 months).The average duration of internal fixation was 26.2 months (range:15 to 36 months).All 5 cases achieved a plantigrade foot.The preoperative ADTA was (87.43±3.15)°,and the ADTA at the time of internal fixation removal was (72.43±5.56)°,with a statistically significant difference (P<0.05); the preoperative ankle dorsiflexion was (-15.00±14.72)°,and at the time of internal fixation removal,it was (14.29±8.86)°,also with a statistically significant difference (P<0.05).One case experienced screw loosening,but no cases had complications such as internal fixation fracture,infection,ankle subluxation,or bridge formation. Conclusions Anterior distal tibial semi-epiphyseal block surgery demonstrates good short-term efficacy in treating sagittal plantar flexion deformity in children with equinovarus foot.
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Memo
收稿日期:2024-9-20。
基金项目:儿童骨科学湖南省重点实验室(2023TP1019);芙蓉实验室科技项目(2023SK2111);湖南省儿童肢体畸形临床医学研究中心(2019SK4006)
通讯作者:朱光辉,Email:zgh5650@163.com