足畸形的

PARTICIPANTS: Totally 3 cases of children idiopathic multiple contracture, 2 cases of idiopathic clubfoot in children aged more than 10 years old without treatment and 6 cases of postoperative recurrent idiopathic clubfoot were admitted by the Department of Orthopedics of Nanjing Children' s Hospital Affiliated to Nanjing Medical University during 1999 to 2000. All cases manifested abnormal ankylosis and shortening deformity in foot.

对象：1990/2000南京医科大学附属南京儿童医院骨科共收治儿童先天性多发性关节挛缩症3例、未经任何治疗10岁以上的大年龄儿童先天性马蹄内翻足2例、先天性马蹄内翻足术后复发6例，全部病例均表现为足畸形僵硬和短足畸形。

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。

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。

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。

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。

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。

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。

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.among these patients,2 were caused by peroneal nerve injury,l by tumor in the vertebral canal,5 by meningocele,11 were caused by poliomyelitis,13 by congenital talipes equino-varus.in accordance with deformities,external fixator and limitied operative methods were dertermined.the limited release of soft tissue were performed in 7 patients,limited osteotomy in 25 patients.the dynamic muscle balance operation were performed in 9 patients with imbalance of muscle strength.according to the ilizarov technique,the fixative rods were installed.the telescopic rods on the apparatus were rotated one week after the operation,the divices had corrective function in three-dimensional directions.the deformity of talipes equinovarus,internal rotation and drooping of the forefoot were gradually corrected,and the patients could bear weight and walked on the deformed foot.the mean duration of traction were 42 days,then removed the external fixator maintained with plaster for a site time.

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。病因：腓总神经损伤2例，腰椎管内肿瘤1例，硬脊膜膨出5例，小儿麻痹后遗症11例，先天性马蹄内翻足13例。术前用足掌的前外缘负重行走者11例，用足的外缘或足背外侧负重者21例。根据马蹄内翻足畸形程度、性质和患者年龄，确定实施有限矫形手术的方法和外固定矫形器治疗。本组7例同期实施有限的软组织松解术，25例同期实施了有限的截骨术和跗骨间关节融合术，9例合并踝关节内外翻肌力明显失衡者，同期行足部肌腱转移的肌力平衡术。然后安装外固定矫形器。术后按作者制定的管理程序，7 d开始旋转相应的螺纹牵拉杆，对器械进行三维空间的缓慢调整，先矫正前足内收和后足内翻，后矫正足下垂畸形，直至达到矫形要求的标准。在矫形的过程中定期进行x线检测，以防止发生踝关节前后移位，治疗期间允许患足负重行走。术后平均牵伸42 d，拆外固定器后患足再上石膏固定适当时间。

Objective:Investigating the early prevention and rehabilitation methods for the contracted scar of foot drop after burn to improve the effectiveness of treatment.

目的：探索烧伤后瘢痕挛缩性足下垂的早期预防和修复方法，改善治疗效果。方法：对我科2006年7月—2009年2月收治的10例跟腱部深度烧伤后可能导致足下垂畸形的患者进行预防性治疗及早期踝关节的功能位固定和功能锻炼；对烧伤后瘢痕挛缩性足下垂3名患者进行Z形瘢痕瓣或梯形瘢痕跟腱瓣治疗，预后观察踝关节外观及踝关节活动功能。

Objective To study the grade of congenital club foot in infant and pre-school children,and the curative effect of the improved operation methods.

目的 研究婴幼儿先天性马蹄内翻足畸形的分级与手术方法改进的疗效。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失