Simplified Approach to Idiopathic Toe-Walking
Simplified Approach to Idiopathic Toe-Walking
复制标题
特发性踮脚走路的简化方法
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
John Smith
中科院分区：
文献类型：
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作者：
M. Kogan;John Smith
关于特发性脚趾行走（ITW）的治疗存在争议。自1993年以来，作者使用门诊经皮跟腱延长术治疗ITW儿童，随后放置膝下行走石膏4周。作者回顾了1993年至1999年间接受经皮跟腱延长术治疗ITW的15例儿童。可以联系15名患者中的10名进行随访调查。没有一个父母说他们的孩子的脚趾走路复发了。没有痛苦的伤疤。所有的孩子都能跟上其他孩子，没有发现任何小腿无力。两个孩子偶尔有跟腱炎，这是缓解与对症药物。所有的父母都对孩子的结果感到满意。作者认为，ITW中的经皮跟腱延长术大大简化了ITW的管理。
Controversy exists as to the treatment of idiopathic toe-walking (ITW). Since 1993, the authors have managed children with ITW using an outpatient percutaneous lengthening of the Achilles tendon, followed by placement of below-knee walking casts for 4 weeks. The authors reviewed 15 children who were treated for ITW with percutaneous Achilles tendon lengthening between 1993 and 1999. Ten of the 15 patients could be contacted for a follow-up survey. None of the parents stated that their child's toe-walking had recurred. There were no painful scars. All of the children were able to keep up with other children and did not notice any calf weakness. Two children had occasional Achilles tendinitis, which was relieved with antiinflammatory medications. All parents were satisfied with their child's outcome. The authors believe that percutaneous tendo-Achilles lengthening in ITW greatly simplifies the management of ITW.