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。
bjective To
increase the effect of treating congenital club foot and prevent the further curving. Methods 315
patients aged from 5 months to 14 years with congenital club foot(484 feet) were operated on by
posteromedial release and tibialis anterior muscles transplantation by various operation
methods such as Evans and Ilizarovs technique, etc. Longterm results were evaluated
according to the criteria made by Garceau. Results 126 patients (186 feet) were followed up, on
the average time of 38 years, and the excellent and good rates for the treatment accounted for
98%. Conclusion Definite relationship was found among the efficacy and preoperative 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 method to achieve satisfactory
longterm result in function and appearance of congenital club foot, and complication and
recurrence rate decrease.
出处
《临床骨科杂志》
1999年第2期116-117,共2页
Journal of Clinical Orthopaedics
