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,2024,(11):1019-1022.[doi:10.3760/cma.j.cn101785-202409051-004]
胫骨远端前侧半骨骺阻滞术治疗儿童僵硬性马蹄内翻足矢状面跖屈畸形的短期效果
- Title:
- 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
- 摘要:
- 目的 评价胫骨远端前侧半骨骺阻滞术治疗儿童僵硬性马蹄内翻足矢状面跖屈畸形的短期效果。方法 回顾性分析湖南省儿童医院2018年2月至 2022年3月采用胫骨远端前侧半骨骺阻滞术治疗的僵硬性马蹄内翻足患儿临床资料。记录手术前、取内固定时踝关节背伸活动角度、踝关节侧位X线胫骨远端前侧角(anterior distal tibial angle,ADTA)及并发症发生情况。结果 共5例(7足)纳入研究,均为男性,平均年龄10岁4个月(范围:7岁11个月至12岁4个月)。胫骨远端内固定平均留置时间26.2个月(范围:15~36个月)。5例均获得跖行足。术前ADTA(87.43±3.15)°、取内固定时ADTA(72.43±5.56)°,差异有统计学意义(P<0.05);术前踝关节背伸(-15.00±14.72)°、取内固定时踝关节背伸(14.29±8.86)°,差异有统计学意义(P<0.05)。1例出现内固定螺钉松动。5例均未发生内固定断裂、感染、踝关节半脱位、骨桥形成等并发症。结论 胫骨远端前侧半骨骺阻滞术治疗儿童僵硬性马蹄内翻足矢状面跖屈畸形的短期疗效良好。
- 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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相似文献/References:
[1]肖保辉,雷霆,曾岚,等.新型U型钉半骨骺阻滞术治疗Ⅰ型神经纤维瘤病儿童胫骨前外侧成角畸形的短期临床疗效评价[J].临床小儿外科杂志,2024,(03):258.[doi:10.3760/cma.j.cn101785-202310026-011]
Xiao Baohui,Lei Ting,Zeng Lan,et al.Evaluation of short-term clinical efficacy of a novel U-nail semi-epiphyseal block for anterolateral tibial angulation deformity in children with type Ⅰ neurofibromatosis[J].Journal of Clinical Pediatric Surgery,2024,(11):258.[doi:10.3760/cma.j.cn101785-202310026-011]
备注/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