关键词：马蹄足畸形； 腱转移术
【摘要】 目的 提高先天性马蹄内翻足的治疗效果，减少其并发症和复发率。方法 采用后路松解、胫前肌外移、Evans和Ilizarov等手术方法治疗5个月～14岁儿童先天性马蹄内翻足315例(484足)，按Garceau疗效评定标准对疗效进行评价。结果 126例(186足)获随访,平均随访3～8年，优85例(125足)，良37例(55足)，可4例(6足)，优良率98%。结论 手术疗效与足踝部主要肌肉功能、足畸形程度和手术时年龄均有明显关系。早期矫正畸形并建立动态肌力平衡手术是治疗儿童先天性马蹄内翻足的有效方法，可减少并发症，降低复发率。
【中图分类号】 R726.8
Operative treatment ofcongenital club foot
Xia Rongqi, Lou Yue, Tang Kai
(Department of Orthopaedics,Nanjing Children Hospital, Nanjin, Jiangsu 210008)
【Abstract】 Objective To increase the effect of treating congenital club footand prevent the further curving. Methods 315 patients aged from 5 months to 14 years withcongenital club foot(484 feet) were operated on by posteromedial release and tibialisanterior muscles transplantation by various operation methods such as Evans and Ilizarovs technique, etc. Long-termresults were evaluated according to the criteria made by Garceau. Results 126 patients (186 feet) werefollowed up, on the average time of 3～8 years, and the excellent and good rates for the treatmentaccounted for 98%. Conclusion Definite relationship was found among the efficacy andpreoperative function of muscles, the severity of the deformity and the age at operation.Early correction of deformities to restore muscle dynamic balance is an effective methodto achieve satisfactory long-term result in function and appearance of congenital clubfoot, and complication and recurrence rate decrease.
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