马蹄内翻足
前脚
畸形
医学
庞塞蒂法
脚(韵律)
分散注意力
外科
口腔正畸科
软组织
计算机科学
物理医学与康复
心理学
哲学
神经科学
并发症
语言学
作者
Nicholas Peterson,Christopher P. Prior
标识
DOI:10.1016/j.fcl.2020.02.008
摘要
Clubfoot is a complex 4-dimensional deformity involving the hindfoot, midfoot, and forefoot. The fourth dimension is time. Treatment aims at achieving a pain-free, plantigrade, and mobile foot but, over time, flexible deformities become fixed and more difficult to manage. The Ponseti method of serial manipulation and casting can be used successfully in older children and may reduce the need for extensive open surgery. Alternatively, gradual correction of by an external device enables simultaneous correction of all components of the deformity without shortening the foot. Combining gradual soft tissue distraction with open releases and/or bony procedures may achieve a pain-free and plantigrade foot.
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