, a horseshoe varus foot and correction method (
Disease description: congenital horseshoe varus foot also known as congenital club foot, is a common congenital malformation, is one more, can for the side.
Symptoms and signs: congenital horseshoe varus foot after the birth of one side or double parapodum shows varying drooping varus deformity.
Light person foot front adduction, sagging, foot plantar surface appear wrinkles, back stretch outreach elastic resistance, to the child learning to walk, deformity gradually increase, the foot and leg muscle balance disorders, healthy muscle contracture, combined with the weight, foot points prolapse is aggravating, gait instability, claudication, use the back edge, deformity increasingly serious delay treatment, the front foot backwards varus, carry heavy parts produced callus and slippery bursa, tibial internal rotation.
Disease causes: the real causes of congenital horseshoe varus deformity so far, most scholars believe that the deformity is caused by internal and external factors in early embryogenesis dysplasia, generally associated with fetal foot malposition in the womb.
Pathological physiology, pathological changes of congenital strephenopodia prolapse, starting with soft tissue abnormalities, foot inside muscle contracture, tension increased, joint capsule and ligament and tendon membrane hypertrophy, shorten, centering on the joint between the hocks, leading to the front of foot deformity: (
The tarsal joint adduction.
Ankle plantar flexion.
In the front foot adduction.
Calcaneal slightly varus prolapse.
Along with the age growth, the weight is more and more big, the deformity was more serious, the Achilles tendon, tibialis posterior and long toes bend, long hallux flexor tendon and plantar fascia contracture, has a strong elastic resistance and lateral foot soft tissue and muscle continues to be pull and stretch, foot outreach loss of the basic functions, but the neuromuscular function condition, muscle excitability is still exist.
After deformity correction, muscle function can also be restored, delayed treatment, gradually produce bone deformity, arrange abnormal tarsi, move inside navicular bone decrescent, hub dysplasia of bone bulky, calcaneal plantar flexion, varus is more serious, is apart from the bone subluxation and tibial internal rotation deformity.
Diagnostic checks: obvious deformity, diagnosis is not difficult, but more light person born son strephenopodia droop, the front foot adduction, varus was not significantly often overlooked, no medical knowledge of the parents is not easy to identify.
Parents is the most simple diagnosis method, with the hand holding the front foot, activities in all directions, such as sufficient evaginate back elastic resistance, should go to a doctor diagnosed in time, so that early treatment, strephenopodia prolapse, more serious, X ray film show calcaneal prolapse, parallel to the longitudinal axis of its longitudinal axis and the talus, and sequence of tarsal bone disorders.
Differential diagnosis more than 1, congenital multiple joints contracture disease affected limb joints, deformation is relatively fixed pull is not easily, early have osseous changes.
2, enhance cerebral palsy muscle tension, hyperreflexia, pathological reflex, and other brain involvement.
After 3, polio chose to horseshoe varus foot muscle balance disorders caused by treatment: the treatment of congenital horseshoe varus foot principle, give priority to in order to correct deformities, early deformity correction, foot function can be restored.
Treatment can be divided into four periods.
1, within 1 year old baby, while breastfeeding, by mother and an aide to assist lever method is correct, the baby knees (
The Achilles tendon relaxation)
, assistant is fixed with the knee joint, the operator children with one hand above the ankle, with the front foot plantar surface, make an effort to develop sufficient evaginate, outreach and back stretch, 2 times daily, soft, avoid to fractures, correcting moderate.
With soft bandage after deformity correction by foot plantar foot back outside oriented direction, fixed in the correct position, strict observation, not too tight, lest affect foot blood supply, and if the deformity correction improved significantly, the foot of the outreach back stretch elastic resistance disappear, can change the foot continues to maintain correct position, this method should be continued to the children after the full 1 one full year of life, general curative effect is satisfied, if the deformity is not entirely correct, also can make the spasm of soft tissues become loose, lay good foundation for the further treatment.
You can also use the pan to plaster therapy with special water chestnut varus orthopedic shoes to correct.
3 years of age, stage correction, a plaster cast, general paralysis patients supine, 15 degrees, or stomach knee 90 degrees, assistant support knee and leg.
Performer with heel, correct the heel varus prolapse, horizontal pushing foot plantar surface before hand, correct prolapse varus adduction deformity at the same time, in full correction, from central to plantar toe joints, 15 degrees knee plaster fixed tube type.
2 years old, changing once every 2 weeks, 2 & ndash;
3 years old, replace 1 times a month.
Children with postoperative note gypsum oppression, crying.
Immediately go to a hospital checking, in easy compression bone protruding parts of the window.
In gypsum is dismantled, orthopaedic shoes should be worn to consolidate, can not only maintain the effect of a plaster cast, can also have the effect of preventing relapse.
Orthopaedic footwear choice according to difference of condition to choose different orthopedic shoes.
The above two methods, the light strephenopodia prolapse deformities, such as can strictly follow the operating rules, serious processing, not only without complications, most children deformity children will correct, maintenance therapy, can be used Dennis brown orthopedic shoes or horseshoe varus foot special orthopaedic to correct.
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