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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: 12 fresh frozen shank-foot specimens from young adults were observed. The tibia was fixed rigidly. The talus and navicular were marked. We exerted different load on the forefoot for keeping it in different motion patterns and measured the three-dimensional coordinates of the marked points on these bones. The relative 3D motion range of the talonavicular joint was calculated. The characteristics of the talonavicular joint and the forefoot and their relationship were analyzed.

采用12例新鲜青壮年小腿足标本,牢固地固定胫骨,标记距骨和足舟骨,分别对足前部加载不同的负荷,使前足处于特定的不同运动状态,用三维数字化仪测量标记点的三维坐标值,计算距舟关节的相对三维运动值,分析距舟关节和前足的运动范围及两者间的关系。

Standing radiographs with and without insoles were used to analyze the femorotibial, talocalcaneal and talar tilt angles at baseline, immediate and final assessment.

以站立 X –光评估受试者在受试前裸足,第一次穿外侧楔型鞋垫,以及穿外侧楔型鞋垫十二周后裸足之间的距骨跟骨夹角,距骨倾斜角以及股骨胫骨夹角是否有明显改变。

Bone stock is available for insertion of the talar pins.

切除距骨很少部分以确保穿距骨钉时有足够的骨量,同时也

The talus should be dievided into head、neck、body、cauda four parts. To the fracture of the talar cauda,operation is a better way of treatment.

认为距骨应分为头、颈、体、尾四部分,对距骨尾部骨折手术切除是治疗的关键。

METHODS: From April 1996 to March 2001, 9 talar neck fractures were treated by internal fixation of absorbable lag screw with a medial approach and cut of medial malleolus to expose the fractures.

1996年 4月~ 2 0 0 1年 3月,采用足内侧途径加内踝截骨显露距骨颈骨折,利用可吸收螺钉对骨折行内固定治疗 9例移位的距骨颈骨折。

Dome after fracture of talar neck.

示距骨颈骨折后有异常信号的距骨顶部病灶。

In coronal section through medial part of corpus tali, interosseous talocalcaneal ligament can be displayed most distinctly and it is 13.1mm long,14.1mm wide in transverse diameter.

过距骨体中部的冠状位断面距跟骨间韧带显示最清晰,平均长13.1mm,横径平均宽14.1mm。

Methods The resection of a talocalcaneal coalition or triple arthrodesis was selected according to calcaneal eversion angle and the rate of a talocalcaneal coalition and the posterior surface area of the talocalcaneal joint.16 feet in 12 patients including 8 males and 4 females were operated upon and reviewed at a mean time of 18 months.

根据术前跟距轴位CT扫描所测量的跟距联合与跟距后关节二者横向切面之比率及跟骨外翻角度来决定采取跟距骨桥局部切除或三关节融合术。

During the operation, a drill, 4.5 mm diameter, was used to drill a hole on the lateral ankle; one anchor was drilled into the talus at the end of anterior talofibular ligament, another one was threaded on the calcaneus; the allogeneic tendon was permeated through the hole on the lateral ankle, maintaining ankle neutral and moderate valgus position.

术中应用4.5 mm直径的钻头在外踝处打孔,在距腓韧带的距骨止点处拧入锚钉一枚,在跟骨跟腓韧带止点处拧入锚钉一枚,然后将异体肌腱在外踝骨孔处穿过,维持踝关节于伸曲中立位和中度外翻位,将肌腱的两端分别用锚钉的尾线缝合固定,术后石膏托固定踝关节于伸曲中立位和轻度外翻位。

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