Surgical Treatment of Medial Femoral Torsion -A Case Report-

股骨內向扭轉變形在骨科門診中並非很少見的病例，大多數之病人皆可以保守療法治療而得到滿意的結果，然而某些嚴重的病例在接受保守療法後將來仍然會有髖關節或同側小腿的後遺症，對於這些嚴重的病例，手術治療是必須的。手術治療的時機通常認為是八歲以後，但對於非常嚴重之病例是否一定要等八歲以後，以及手術中須矯正多少角度似乎尚無定論。本文提出一位嚴重的病例雖然他只有六歲大，但因嚴重的跛行及其所導致自卑感和社交行為上的退縮，在衡量手術治療的利弊之後，我們仍然施行股骨轉子下部位的「逆扭轉切骨手術」治療而很快的得到很好的臨床結果，文中對有關本病例之治療及文獻上爭論之處予以討論。

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並列摘要

Medial femoral torsion is not rarely problem seen in orthopaedic clinics. Patients are always bilaterally involved. Most cases walk normally or with a slight toe-in gait. These need no further treatment. However, it has been suggested that severe cases may have sequelae in the hip or lower leg. For these cases, surgical treatment has been considered. The age of surgical treatment was commonly accepted as 8 years old. We will present a case of bilateral medial torsional deformity with severe toe-in gait of the right leg. Although the patient was only 6 years old, to resolve his walking problem and social withdrawal, derotational osteotomy was performed in the subtrochanteric area. This resulted in prompt functional recovery. This case and its controversies are discussed.

並列關鍵字

medial femoral torsion(M.F.T.) ； anteversion ； derotational osteotomy

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Surgical Treatment of Medial Femoral Torsion -A Case Report-

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