I will first take you through the normal pelvic structure of the human body.
The pelvis consists of the left and right hip bones and the sacrum and coccyx and the bone connections between them.
Today, we have compiled a case of correction of clubfoot using a combined fixation frame.
Horseshoe foot: also known as drop foot, drooping foot, pointed foot, is a common deformity of the foot. It is characterized by the patient’s inability to land on the heel while standing or walking and holding the weight on the tip of the foot, with the heel hanging in the air, shaped like a horseshoe. Examination shows that the anterior plantar flexion of the foot is obvious, often combined with concave foot, shortened Achilles tendon, the foot completely unable to dorsiflexion, which is the horseshoe foot.
Case 1.
Patient female, diagnosis: right lower limb deformity. After admission to the hospital, relevant examinations were performed and the surgical plan was: combined fixation frame for orthopedic treatment.
Preoperative care.
1, preoperative examination.
2. Skin preparation of the affected foot.
3.Prevention of falls.
4.Psychological care.
Postoperative care.
1.Observe the fixation frame and fixation pin for loosening and tilting, etc.
2.Observe the condition of the affected limb: any nerve and vascular injury or compression, and pay attention to the blood flow of the toe end.
3.Keep the needle eye clean and dry, and pay attention to prevent collision.
4.Instruct the patient to elevate the affected limb as much as possible to help eliminate swelling.
Case 2.
Horseshoe foot etiology.
1, congenital: developmental malformation, deformity exists after birth, hereditary.
2, acquired: mostly by neuromuscular diseases (such as the sequelae of poliomyelitis, cerebral palsy sequelae, cerebrospinal spinal bulge, spina bifida, neural tube closure insufficiency, spinal cord and peripheral neuropathy and injury, etc.) 3, foot trauma, bone and joint diseases: such as rheumatoid arthritis, long-term compression and improper fixation of individual lower limb fractures in paralyzed patients.
This article focuses on the treatment of congenital clubfoot entropion.
The patient was a female, diagnosed: left lower limb deformity, admitted to the hospital for relevant examinations, and the surgical plan was: correction using a combined fixation frame. Figure 1 shows the patient’s preoperative appearance.
Functional exercise.
1. Explain the importance of functional exercise to the patient and her family, and do not rely completely on surgical treatment and neglect functional exercise.
2.After awakening from anesthesia, the patient can be given dorsiflexion and abduction activities of the toes.
3. 1-2 weeks after surgery, the patient can get out of bed with the help of crutches and walk without weight-bearing. 6-8 weeks, the patient can start to walk with weight-bearing according to the situation.