Congenital horseshoe orthopedics, these five problems, we must first understand that the causes of horseshoe disease are various, mainly including two types: congenital and tomorrow. We generally think that congenital horseshoe type is all congenital horseshoe type, which is found to be wrong. Below, you will answer the common questions about congenital horseshoe! Why do children get this disease? Most scholars believe that malformation is the early stage of embryonic development, which is influenced by internal and external factors, leading to abnormal development or unbalanced muscle development. Some people think it has something to do with heredity. Horseshoe hind limbs are mainly due to trauma and disintegration of nervous system, such as cerebral palsy and addiction. Due to the imbalance of foot muscles.
How to treat this disease? Regarding the treatment of congenital horseshoe, it is generally believed that tendon amputation and Ponseti gypsum orthopedics are the simplest and most effective treatment methods. Especially for infants with congenital horseshoe type, the effect is remarkable. Therapy is a system for treating horseshoe, which usually includes the following steps: 1-5 gypsum orthopedics can achieve 4-5 gypsum orthopedics to achieve major correction; Each plaster is fixed at 1-2 weeks (depending on the child's age and growth rate). After cutting the banyan tree, the high arch is closed, and most of the water tendons are tight. It is necessary to use BISSSOSON to cut horseshoe abortion. After the church, the horseshoe malt horse corrected, accumulated and retracted to fill the cavity, solidified, excited and scarred (almost no significant difference from the normal bamboo tendon), and then the gypsum was rotated and fixed in all directions, and the bending was removed as much as possible from 3 weeks.
In the third step, the baffle is fixed with omnidirectional branches, which is relatively long. It should be one day three months ago (no less than 23 hours a day), and then the mountain time is shortened to 12 hours at night, and this will last until the child is 3 years old? Five years old. Ponseti method is to use brave orthosis to maintain correction and prevent recurrence, not to correct deformity. In recent years, scholars at home and abroad have designed a brave orthopedic effect. The Poncetti method is not a constant. For children with extremely tight tendons, the plaster is 1-2 times, the foot is in front of the foot, and the whole calf and foot form a cone, which is easy to fix and slide the plaster. In order to avoid sliding, it can be cut off in advance, so that the ankle joint can be fixed with plaster and it is not easy to slide.
Gypsum does not require hospitalization and anesthesia. Part of it is circulation, which needs to cut off bamboo, often under anesthesia. Because the wound is very small, the incision is very small until there is no suture, so there is no need to be hospitalized. After cutting Haggege plaster, it went home. Only children who need horseshoes in front of older children or who need regular hospitalization anesthesia. Is it repeated after treatment? No matter which method is used, the horseshoe floor has a stubborn recurrence trend. Generally speaking, after treatment, according to Ponseti method, the most important reason is repeated failure of horseshoe shape. If your child doesn't wear the warrior as required, you should resume the routine check-up, or parents should visit their children immediately if they suspect that their feet are abnormal.
What should I do after it happens again? In order to treat the recurrence of deformity, the same orthopedic and plaster fixation methods can be used again. If the ankle joint stroke is limited, the transparent device needs to be cut again, and in severe cases, the joint capsule needs to be released; If the horseshoe shape recurs for more than 2 years, the horseshoe treatment will form a fixed deformity. If the child's walking gait is dynamically rotating in the swing stage, the tibia muscle is needed, and the tibia is necessary. Anterior muscle transferred to the third cuneiform bone to establish muscle strength to prevent deformity, usually not more than 10% of patients with intercondylar myocardial transfer surgery. The sooner you treat it, the better. Most children can completely correct their deformities within a few months, but if the best treatment opportunity is missed, non-surgical treatment can not achieve the expected results and can only be treated surgically.