足内翻

［Objective］To identify the standard of radiographic diagnosis and analyse the measurement between tailor's bunion and normal feet.［Methods］The fourth-fifth intermetatarsal angle (IM4～5),modified fourth-fifth intermetatarsal angle (MIM4～5),metatarsophalangeal-fifth angle,lateral deviation of the fifth metatarsal angle,width of fifth metatarsal head,distance of prominence of the fifth metatarsal head were measured by X-ray for 131 feet of normal persons and 117 feet of tailor's bunion. The measured results and other clinical presentations were compared.

［目的］通过对小趾囊炎足与正常足X线的测量及对比分析研究，明确小趾囊炎足X线诊断标准［方法］对131例正常足与117例小趾囊炎足的第4～5跖骨间角(IM4～5)，改良4～5跖骨间角(MIM4～5)，小趾内翻角，第5跖骨外翻角，第5跖骨头宽度及突出距离进行X线测量，结合临床对测量结果进行对比分析研究。

Methods］The fourth-fifth intermetatarsal angle (IM4～5),modified fourth-fifth intermetatarsal angle (MIM4～5),metatarsophalangeal-fifth angle,lateral deviation of the fifth metatarsal angle,width of fifth metatarsal head,distance of prominence of the fifth metatarsal head were measured by X-ray for 131 feet of normal persons and 117 feet of tailor's bunion.

方法］对131例正常足与117例小趾囊炎足的第4～5跖骨间角(IM4～5)，改良4～5跖骨间角(MIM4～5)，小趾内翻角，第5跖骨外翻角，第5跖骨头宽度及突出距离进行X线测量，结合临床对测量结果进行对比分析研究。

BACKGROUND: Ghildren refractory clubfoot includes idiopathic multiple contracture, untreated idiopathic clubfoot in older children and failure cases of repeated operations. It is very difficult to treat this type of children patients.

背景：儿童顽固性马蹄内翻足包括先天性多发性关节挛缩症、未经治疗的大年龄儿童先天性马蹄内翻足及反复手术治疗失败的病例，对该类患儿的治疗目前仍非常棘手。

Aim: Improving the method of the shifting the anterio tibia muscle for treatment of mon strosity of crossfoot, and seeking a best method for treating the monstrosity of crossfoot.

目的：对胫骨前肌外移治疗内翻足畸形的手术方法进行改良，探讨肌腱移位治疗内翻足畸形的最佳方法。

Methods: From June 2002 to June 2007, 202 patients (298 feet) with congenital talipes equinovarus admitted in our hospital, and the operations such as the Achilles tendon lengthening+solution of soft tissue, the solution of metatarsus fascia, the Achilles tendon lengthening+cuboid bone osteoectomy or tibialis anterior tendon transfer, the Achilles tendon lengthening+talus excision, the Achilles tendon lengthening+fusion of trijoints+talus excision etc, were adoptted.

回顾性分析202例（298足）先天性马蹄内翻足患者的临床资料，根据患者的年龄、内翻足畸形和僵硬程度的不同分别采用跟腱延长+软组织松解、跖筋膜松解、跟腱延长+骰骨截骨或胫前肌外移、跟腱延长+距骨切除、跟腱延长+三关节融合+距骨切除等手术方式进行治疗。

Methods Ten fresh-frozen foot specimens, three-dimensional kinematics of talonavicular joint were determined in the case of neutral position, dorsiflexion, plantoflexion, adduction, abduction, inversion and eversion motion by means of three-dimensional coordinate instrument （Immersion MicroScribe G2X） before and after calcaneocuboid arthrodesis under non-weight with moment of couple, bending moment, equilibrium dynamic loading.

方法10只新鲜尸体足标本，通过建立非负重位尸体足模型，结合力偶矩、弯矩及平衡加载方法，应用三维坐标仪测量分析跟骰关节融合前、后距舟关节在大体足背屈、跖屈、内收、外展、内翻及外翻运动中的三维运动度变化。

Club foot, or congenital talipes equinovarus, is a deformity of the ankle and foot that is present at birth.

马蹄内翻足，或先天性马蹄内翻足，是一种畸形的踝关节及足部这是目前在出生时。

［Objective］To explore the clinical efficiency,operative methods,apparatus assembly and postoperative administration of Ilizarov technique in the correction of talipes equinovarus.［Method］From January 2003 to May 2006,32 patients were corrected with QIN Si-he's orthotics devices on the Ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.

［目的］探讨Ilizarov技术矫正马蹄内翻足畸形的手术方法及器械改良、术后管理方法的改进及疗效［方法］2003年1月～2006年5月，根据Ilizarov张力应力法则，应用秦泗河改良的外固定矫形器，遵循Ilizarov穿针固定的基本原则，共手术治疗马蹄内翻足32例，男15例，女17例；年龄10～25岁，平均17岁。

The results shows that HOXD13 gene mutation was not involved in outbreak in idiopathic congenital talipes equinovarus, but changes of HOXD13 and FHL1 gene expression related to the development of talipes equinovarus malformation.

上述结果说明：HOXD13的编码区突变可能不是先天性马蹄内翻足发生的原因，而HOXD13和 FHL1表达水平的改变可能与马蹄内翻足畸形的发生有关， HOXD13可能通过直接调控FHL1发挥作用。

For 9 patients (11 feet), 6 feets achieved excellent result, 4 feets good and 1 foot poor results respectively. Ilizarov technique in treatment of the severe rigid talipes equinovarus deformity achieves a good clinical result.

结论］Ilizarov外固定架三维矫正马蹄内翻足畸形效果确实，尤其适用于大年龄儿童之僵硬、复发或难治性马蹄内翻足，有一定的临床应用价值。

However, as the name（read－only memory）implies, CD disks cannot be written onorchanged in any way.

然而，正如其名字所指出的那样，CD盘不能写，也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口，替代木托盘，免薰蒸，符合欧盟、北美各国对出口货物包装材料的法令要求；喷涂钢托盘适用于重载上货架之用，托盘表面根据需要制作成平板状、波纹状及间隔形式，满足不同的使用要求。