摘要目的 应用微型骨锚重建转移的胫骨前肌止点矫形垂直距骨,探讨此法对降低婴幼儿先天性垂直距骨症术后早期复发率和距骨坏死率的临床价值.方法 自2006年2月至2008年3月,应用肌力平衡理论在Kumar手术方法的基础上,将胫前肌止点后移微型骨锚固定一次性治疗婴幼儿先天性垂直距骨症7例9足,平均手术年龄18个月,术后长腿管型石膏固定,12周后拔除克氏针, 更换小腿管形石膏继续固定6周.结果 平均随访时间术后24个月,7例9足先天性垂直距骨症患儿, 足外观良好,X线片检查无复发及距骨坏死,远期效果待观察.结论 应用微型骨锚重建转移的胫骨前肌止点矫形垂直距骨治疗婴幼儿先天性垂直距骨症,能进一步降低一次手术的早期复发率和距骨坏死率.

abstractsObjective To investigate the short-term effect of mini anchor in treatment of congenital vertical talus in infants.Methods Nine feet in seven patients with congenital vertical talus CVT were reviewed.The average age at surgery was 18 months.All patients were operated following Kumar 's Method.The anterior tibial muscle was fixed to the head of vertical talus with mini-bone-anchor.A long-leg cast was applied for 12 weeks.A short-leg cast was worn for an additional 6 weeks after the K-wire was removed.Results The seven patients were followed-up for 24 months.The shape of the feet was good with no recurrence or talus necrosis.Long-term result is pending.Conclusions With the mini anchor, the rate of early recurrence and talus necrosis after correction of congenital vertical talus in infants were decreased.