A preliminary study on the ultrasonic evaluation of deformity changes during the treatment of congenital clubfoot in infants
10.3760/cma.j.cn131148-20210621-00425
- VernacularTitle:超声评估婴幼儿先天性马蹄内翻足治疗过程中畸形变化的初步研究
- Author:
Bing XIA
1
;
Yingmei DONG
;
Panpan HE
;
Chaohua WANG
;
Hongqian WANG
;
Junying YUAN
;
Fuyun LIU
;
Hezhou LI
;
Weiming HU
;
Feipeng WANG
;
Guoming FENG
;
Xueqiang NIU
;
Yanzhao DONG
Author Information
1. 郑州大学第三附属医院小儿骨科 450052
- Keywords:
Ultrasonography;
Congenital clubfoot;
Ponseti method
- From:
Chinese Journal of Ultrasonography
2021;30(11):993-997
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the deformity changes in the treatment of congenital clubfoot in infants by ultrasound, and to explore its clinical application value.Methods:Seventeen infants with congenital clubfoot treated in the Department of Pediatric Orthopaedics of the Third Affiliated Hospital of Zhengzhou University from March 2020 to June 2021 and 27 normal infants in the same period were selected. The distance between medial malleolus and scaphoids (MM-N distance) of all feet was measured by ultrasound. The distance from the tangent line of the lateral edge of calcaneus to the midpoint of the lateral edge of the chondroid bone (C-C distance), medial soft tissue thickness and tibial calcaneal angle were measured by ultrasound. The data before, after treatment and during follow-up were statistically analyzed.Results:A total of 88 feet of 44 infants were evaluated. The mean number of cast was 4.7±1.1, the follow-up time was (96.9±59.3)days. The MM-N distance, C-C distance and posterior tibial calcaneal angle in the clubfoot group were improved after treatment and at the last follow-up, and the differences were statistically significant (all P<0.01). During the treatment, 1 case had false correction, and 2 cases recurred in the last follow-up. Conclusions:Ultrasound can clearly display the medial, dorsal, lateral and posterior articular structures of normal and clubfoot, and can observe the deformity changes of clubfoot during the correction process, which can provide guidance for the clinical treatment of clubfoot.
