Foot deformities in adolescents and young adults with spina bifida
Foot deformities in adolescents and young adults with spina bifida
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DOI：
10.1097/01202412-200006000-00005
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发表时间：
2000-06-01
影响因子：
1.1
通讯作者：
Menardi, G
中科院分区：
文献类型：
--
作者：
Frischhut, B;Stöckl, B;Menardi, G
脊柱裂通常伴有足部畸形的高发率。管理的目标是实现足跖行。畸形与病变程度有关。对于胸部病变，最常见的畸形是马蹄足病变（55%）、马蹄足伴中腰部病变（87%）和跟骨足伴骶骨病变（34%）。骶骨病变儿童足部无畸形的比例为56%。 2 岁之前进行马蹄内翻足手术的复发率很高（78%），需要重做手术。 45% 患有骶骨病变、需要手术稳定足部的行走患者出现跟外翻畸形。骶骨病变的患者几乎是唯一仍能下床活动的患者。未发现行走与青少年和年轻人的足部畸形有关。
Spina bifida is generally accompanied by a high incidence of foot deformities. The goal of management is to achieve a plantigrade foot. Deformities are related to the level of the lesion. With thoracic lesions, the most frequent deformity is an equinus lesion (55%), a club foot with mid-lumbar lesion (87%) and a calcaneal foot with sacral lesions (34%). No deformity was present in 56% of feet in sacral lesion children. Club foot surgery before the age of 2 years entails a high rate of recurrence (78%), necessitating redo surgery. A calcaneo-valgus deformity developed in 45% of ambulating patients with sacral lesions requiring operative stabilization of the foot. Patients with sacral lesions were almost the only ones who remained ambulators. Ambulation was not seen to be related to foot deformities in adolescents and young adults.