How to choose the operation method for clubfoot operation?

Surgical treatment of clubfoot: surgical treatment

Clubfoot is a congenital foot deformity, which should be treated in time. The most common treatment is surgery, and the cure rate is also very high. Surgical treatment can choose different surgical methods according to different personal conditions and symptoms.

Extensive soft tissue release:

Surgical methods include Turco, Mckay, Carroll, etc. The purpose is to release the soft tissue of ankle contracture and restore the normal anatomical structure of tarsal bone.

General principles for the treatment of clubfoot at any stage of extensive release include:

1, after the operation, loosen the tourniquet and electrocoagulation to stop bleeding;

2, if necessary, make the foot in plantar flexion position, carefully suture subcutaneous tissue and skin to avoid excessive skin tension;

3. When the plaster is replaced for the first time 2 weeks after operation, it can be placed in a completely corrected position.

Achilles tendon lengthening:

For children (generally 2 ~ 3 years old) who miss the operation of releasing Achilles tendon, it is necessary to release and lengthen the Achilles tendon to lower the calcaneus and cut the Achilles tendon into a Z shape. Plaster fixation was performed for 6 weeks after operation.

Tibialis anterior shifted outward:

It is suitable for children with early mild recurrence of horseshoe foot or residual adduction deformity of forefoot after treatment.

External fixing bracket:

For older children with rigid clubfoot (generally over 5 years old), the foot bones have been ossified, and the deformity cannot be corrected by soft tissue alone. External fixation can be used, and the bracket should be adjusted regularly after operation. The appearance is basically satisfactory, but the ankle joint stiffness will be maintained.

Orthopedic osteotomy of foot:

There are many surgical methods. Generally, children are over 5 years old. According to the deformity, different osteotomy combined with external fixator can be used to correct clubfoot deformity.

Three-joint fusion:

Indication: 10 years old children; Combined metatarsal adduction, hind foot varus and plantar flexion; You can consider this operation.

note:

Surgical treatment should take into account the growth factors of limbs, and surgical correction can be carried out in stages without being too destructive.

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