用新手术程序(Hussain 's Procedure)治疗被忽视和残留的畸形足-为期六个月的研究经验

R. Lakhey, Afzal Hussain
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摘要

背景:巴基斯坦残疾骨科医院康复协会以矫正包括足部和脚踝畸形在内的骨科畸形而闻名。该医院的整形外科医生顾问Afzal Hussain博士是治疗足部和脚踝畸形的先驱,他开发了一种治疗先天性马蹄内翻足的新手术方法。在研究期间,第一作者与外科医生合作了6个月,通过新的手术程序对被忽视和残留的先天性马蹄内翻足进行了管理,并对其进行了随访。材料和方法:第一作者协助Hussain医生采用新的手术方法对被忽视和残留的先天性马蹄内翻足进行了手术,资深作者(Afzal Hussain)进行了至少5年的随访。Cumming对Laavag和Ponseti评分的修改应用于随访结果的计算。结果:对11例被忽视的先天性马蹄内翻足和9例残余马蹄足(早期手术后内侧松解)采用新的手术方法进行随访,计算出Cumming改良的Laavag和Ponseti评分,结果良好。结论:Afzal Hussain医生新的先天性马蹄内翻足手术治疗被忽视和残留的先天性内翻足的早期效果非常好。
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Managing the Neglected and the Residual Clubfeet with the New Operative Procedure (Hussain’s Procedure) – An Experience of Six-Month Fellowship
Background: Pakistan Society for Rehabilitation of the Disabled Orthopedic Hospital is renowned for the correction of orthopedic deformities including foot and ankle deformities. Dr. Afzal Hussain, a consultant orthopedic surgeon in the hospital, pioneers in treatment of foot and ankle deformities and he has developed a new operative procedure for congenital clubfoot. Working with the surgeon for 6 months during the fellowship, management of the neglected and the residual congenital clubfeet with the new operative procedure   and their follow-ups were assisted by the first author. Materials and Methods: Operative procedure of the neglected and the residual congenital clubfeet, which were performed with the new operative procedure by Dr. Hussain, were assisted by the first author and a minimum of 5 years follow up was done by the senior author (Afzal Hussain). Cumming’s modification of Laavag and Ponseti score was applied for the calculation of the results at the follow-ups. Results: During the follow-ups of 11 cases of neglected congenital clubfeet and 9 cases of residual clubfeet (operated earlier with posteromedial release) which had been operated by the new operative procedure, Cumming’s modification of Laavag and Ponseti scores of the operated clubfeet were calculated and the results were found to be excellent. Conclusion: Early results of the new operative procedure by Dr. Afzal Hussain for congenital clubfoot in the neglected and the residual congenital clubfeet were found to be excellent.
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