Short-term efficacy of minimally invasive multi-planar soft tissue lysis in treatment of congenital clubfoot
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Short-term efficacy of minimally invasive multi-planar soft tissue lysis in treatment of congenital clubfoot
Journal of Chongqing Medical UniversityVol. 43, Issue 10, Pages: 1370-1373(2018)
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Published:2018,
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Short-term efficacy of minimally invasive multi-planar soft tissue lysis in treatment of congenital clubfoot. [J]. Journal of Chongqing Medical University 43(10):1370-1373(2018)
DOI:
Short-term efficacy of minimally invasive multi-planar soft tissue lysis in treatment of congenital clubfoot. [J]. Journal of Chongqing Medical University 43(10):1370-1373(2018)DOI:
Short-term efficacy of minimally invasive multi-planar soft tissue lysis in treatment of congenital clubfoot
Objective:To investigate the short-term efficacy of minimally invasive multi-planar soft tissue lysis in the treatment of congenital clubfoot. Methods:A retrospective analysis was performed on 32 patients(45 feet) with congenital clubfoot who underwent minimally invasive multi-planar soft tissue lysis in our hospital from July 2014 to June 2017. The Dimeglio scores and the degrees of six angles on X-ray before treatment and at the last follow-up were collected. The efficacy was evaluated and the correlations between Dimeglio score and degrees of six angles were analyzed. Results:All patients were followed up for (12.6±4.8) months(ranged from 6.2 to 24.9 months). The median Dimeglio score at the last follow-up was 2.0(1,3),which was significantly better than that before treatment(P=0.000). There were significant changes in the degrees of six angles on X-ray after treatment(P<0.05). Only the degree of the anteroposterior talus-first metatarsal angle was positively correlated with Dimeglio score(r=0.346,P=0.020). Conclusion:Minimally invasive multi-planar soft tissue lysis has good short-term efficacy because of its minimal invasion,unobvious postoperative scar,and good outcomes in ankle joint function and flexibility in the treatment of congenital clubfoot