Treatment of residual adduction deformity in clubfoot: The double osteotomy

被引:31
|
作者
Lourenco, AF [1 ]
Dias, LS [1 ]
Zoellick, DM [1 ]
Sodre, H [1 ]
机构
[1] Northwestern Univ, Childrens Mem Hosp, Sch Med, Chicago, IL 60614 USA
关键词
adduction deformity; clubfoot; osteotomy cuboid; osteotomy cuneiform;
D O I
10.1097/00004694-200111000-00003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Forefoot adduction is the most common residual deformity after clubfoot surgery. Surgical treatment of this deformity is often required for moderate and severe cases. This study reports the results of a closing wedge osteotomy of the cuboid and opening wedge osteotomy of the medial cuneiform in 39 feet. The average follow-up was 4.8 years. Clinical and radiographic improvement was seen in all patients, and no complications were seen. Surgery is advocated in children older than age 4, or when the medial cuneiform ossific nucleus is well developed.
引用
收藏
页码:713 / 718
页数:6
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