Carroll手术入路治疗马蹄内翻足

Carroll’s surgical technique for clubfoot

  • 摘要: 目的:探讨Carroll手术入路治疗马蹄内翻足的效果。方法:自1994年以来,采用Carroll手术入路治疗马蹄内翻足17例20只足,其中男性12例,女性5例;左侧5例,右侧9例,双侧3例;手术年龄平均3.7岁(9月~9岁)。结果:手术显露满意,切口张力不大,切口无皮肤坏死,10~14 d拆线,伤口愈合良好。经平均3年随访,切口瘢痕不明显,足外形及X线片矫正满意。结论:Carroll手术入路治疗马蹄内翻足可获得充分显露,并可避免跟内侧血管损伤,切口愈合良好,畸形矫正满意。

     

    Abstract: Objective:To investigate the procedure of Carroll's surgical release for clubfoot.Methods:Seventeen patients with 20 clubfeet were treated by the Carroll's surgical release from 1994.1 to 2003.1.12 patients were male and 5 were female.There were 5 left feet and 9 right feet and 3 bilateral feet.The average age at the time of surgery was 3.7 years with a range of 9 month to 9 years.Results: Exposure was well done during the operation.All incisions were not high tension.The skin incisions had not developed necrosis.Stitches was taken out after 10 to 14 days.The wound healed well.At an average of 3 years with a range of 1 to 9 years of follow-up,the incision scar was not appeared markedly.The contour of foot and x-ray results were satisfactory.Conclusion:The treatment of Carroll's surgical for clubfoot is well for exposure and avoiding injury of heel medial blood vessel,and good healing with minimal scarring and good cosmesis.

     

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