Medial Tarsal Shortening Osteotomy

Skull joint shortening osteotomy for the surgical treatment of congenital clubfoot. Congenital clubfoot is the most common malformation in children's feet. It has been reported abroad as a disease rate of 13, which is also common in China (Fig. 12.27.1.5-0-1, 12.27.1.5-0-2). This section is intended to be focused on. The disease is more male than female, more bilateral than more than one side. Some cases have a family history. It may be present alone or may be accompanied by other malformations such as spina bifida, hip dislocation, multiple fingers, and fingers. Treatment of diseases: congenital clubfoot Indication Congenital clubfoot. Preoperative preparation 1. Patients with congenital clubfoot deformity may be treated with external plastering and orthopedic surgery. 2. The general condition examination is normal and can tolerate surgery. Surgical procedure 1. Incision: A 4 to 5 cm incision is made parallel to the muscle below the longus muscle of the humerus. The skin and subcutaneous tissue are cut, the long bone of the humerus is retracted, and the Achilles tendon joint between the calcaneus and the tibia is exposed. Be careful not to damage the saphenous nerve. 2. According to the degree of deformity of the horseshoe and the age of the sick child, do different treatments 1 preserve the osteotomy of the ankle joint, you can cut the humerus or calcaneus 0.2~0.3cm on the lateral side of the calcaneus or the lateral aspect of the tibia. ; 2 remove the articular surface of the calcaneus and the tibia to form a fusion of the ankle joint. 3. If the above deformity is not completely corrected after the above-mentioned bone surgery, the medial soft tissue between the heel, the distance, the scaphoid, and the tendon extension can be released at the same time.