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自1988年～1992年采用改良胫前肌移位术治疗小儿内翻足畸形22例22足,收到良好效果,现报告如下。1 临床资料 本组22例,男12例,女10例。年龄5～14岁,平均9.6岁。其中小儿麻痹症13例,先天性马蹄内翻足4例,隐性脊柱裂3例,脑瘫2例。均有内翻足畸形。2 手术方法 (1)于足内缘胫前肌附丽点处做纵形皮肤切口,显露胫前肌腱,于近附丽点处切断。(2)于小腿中下1/3交界处沿胫骨嵴的外缘做纵形切口,切开深筋膜,显露胫前肌腱,向远处分
From 1988 to 1992, the use of improved anterior tibial muscle shunt treatment of pediatric varus deformity in 22 cases 22 feet, received good results, are as follows. 1 Clinical data The group of 22 patients, 12 males and 10 females. Aged 5 to 14 years old, average 9.6 years old. Polio in 13 cases, congenital clubfoot in 4 cases, occult spina bifida in 3 cases, cerebral palsy in 2 cases. Have varus deformity. 2 surgical methods (1) in the medial tibialis anterior margin muscle Li Li point longitudinal incision made to expose the anterior tibial tendon, near the Li Li cut off. (2) in the lower leg 1/3 junction along the outer edge of the tibial crest to do longitudinal incision, incision deep fascia, revealed the anterior tibial tendon to the distant points