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Objective To explore the changes of metatarsal arrangement and their association with forefoot adduction after modified Mckay procedure.

目的:探讨先天性马蹄内翻足患儿的跖骨排列改变以及其与改良Mckav术后前足内收的关系。

Methods: 14 cases (24 feet) of rigid clubfoot were treated by complete subtalar release.

距下完全松解术治疗重度先天性马蹄内翻足14例24足。

OBJECTIVE: Western-blot technique is utilized to further validate FHL1 and HOXD13 gene expression in protein levels in muscle tissue of patients with congenital clubfoot, the in vivo HOXD13 and predicted binding sites in embryonic foot development was verified using chromatin immunoprecipitation technology.

目的:应用Western-blot技术进一步验证先天性马蹄内翻足患者足部肌肉组织中FHL1,HOXD13基因蛋白质水平的表达,应用染色质免疫沉淀技术验证在胚胎足部发育时在体内HOXD13和预测结合位点的结合作用。

METHODS: Muscle tissues were samples from 15 children with congenital clubfoot, in the Department of Pediatric Surgery, at the Second Affiliated Clinical Hospital of China Medical University, 3 copies of normal children foot muscle tissues at the same age were provided by the Forensic Medicine College of China Medical University, 1 case of aborted embryo at pregnancy 13 weeks were offered by Department of Obstetrics and Gynecology, at the Second Affiliated Clinical Hospital of China Medical University.

15份先天性马蹄内翻足患儿肌肉组织标本由中国医科大学附属第二临床医院小儿外科提供,3份同年龄组正常儿童足部肌肉组织由中国医科大学法医学院提供,1例孕13周流产胚胎由中国医科大学附属第二临床医院妇产科提供。

Methods: 1/2 anterior tibia muscle shifting were used to take the place of long peroneal muscle and short peroneal muscle of paralysis. 13 of 22 cases are congenital talipes equinovalgas, 9 are monstrosity of crossfoot of poliomyelitis.

将胫前肌半腱(外侧1/2)外移代替瘫痪的腓骨长、短肌,配合足部软组织松解或关节融合术,治疗马蹄内翻足畸形。

Hind feet : Slightly less arched than forefeet, turned neither in nor out.

后足 :圆拱状,与前足相比,略平,既不向内翻也不向外翻

Plantarflexion, inversion, adduction and shortening deformities were corrected by the adjustment of the distance between each part of the external bone fixing set through extension, compression, and rotation, etc., and navicular and cuboid osteotomy.

通过对骨外固定装置各部件间距进行延长、压缩和旋转等调节,以及舟、骰骨的截骨延长,从而矫正畸形足的跖屈、内翻、内收及短足畸形。

Flat foot caused by talipes valgus can be evaluated by footprint in static state, while the development of bones of foot and the constitution of instep can be monitored on the lateral X-rays in weight loading.

足印图可对患儿足外翻引起的足扁平程度作静态评价,是一种粗略筛选方式;负重侧位X线片可观察患儿足部骨骼发育情况及负重时内、外侧纵弓的形态结构。

The Ilizarov technique was used in 9 patients (11 feet) with the severe rigid talipes equinovarus deformity, in which one patient with syringomyelia, and the orthers with congenital club foot. Prospective goals of correction were made in all the cases.

方法]作者在2000年3月~2005年3月间,使用Ilizarov技术矫正9例11足重度僵硬性马蹄内翻足畸形,将连接于胫骨、跟骨、跖骨的外固定环互相连接、组合成复杂的三维外固定架,通过逐渐调整外固定架矫正畸形,从而使患足达到或接近正常足的外形和功能。

Feet should be compact, turning neither in nor out, with well-arched toes.

足爪紧凑,既不内翻也不外翻,足趾适度圆拱。

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