Three Cases of Paralytic Clubfoot with Spina Bifida.
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概要
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Conservative treatment of congenital clubfoot following spina bifida is difficult. We report three cases in which good results occurred after our operation. Case 1: She was a 3 year old female and her paralytic level was L5. Her varus deformity reoccurred after treatment at another hospital, and so we performed postero-medial release (PMR) and split transfer of tibialis anterior tendon. Case 2: He was a 2 year old male and his paralytic level was L3. At 2 year 5 months we performed a Lichtbrau operation. Case 3: She was a 11 months old female and her paralytic level was L4. At 11 months we performed PMR. After operations all 3 cases have gained plantigrade feet.Getting the plantigrade is the most important goal in treating foot deformities with spina bifida patients. We think that the correction of bony alignment is essential and, in cases with muscle imbalance in the foot, a corrective operation like the split lateral transfer of the tibialis anterior is also necessary.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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