成人痉挛性足内翻足畸形的外科治疗:622例患者的回顾性研究

T. Deltombe, Thomas Gavray, Olivier Van Roy, D. Wautier, T. Gustin
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引用次数: 1

摘要

目的:本研究旨在确定痉挛性马蹄内翻足(SEF)的治疗频率。材料与方法:回顾性分析622例SEF患者的临床资料。结果:66%为脑卒中所致SEF。最常见的类型是马内翻(56%)、膝反屈(55%)和爪趾(41%)。59%的患者受益于手术治疗,其中22%的患者受益于神经切开术,12%的患者受益于肌腱手术,25%的患者受益于联合手术。结论:手术治愈率为59%。治疗方式受术前诊断性神经阻滞评估的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medico-surgical management of the spastic equinovarus foot deformity in adults: A retrospective series of 622 patients
Objective: This study aimed to determine the frequency of spastic equinovarus foot (SEF) treatments. Materials and Methods: the medical files of 622 patients treated for SEF were reviewed. Results: SEF resulted from stroke in 66%. The most frequent pattern was equinovarus in 56%, knee recurvatum in 55%, and claw toes in 41%. Patients benefited from surgical treatment in 59%, including neurotomy in 22%, tendon surgery in 12%, and a combined surgery in 25%. Conclusion: Surgery was performed in 59% of the cases. The type of treatment was influenced by the preoperative diagnostic nerve block assessment.
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