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目的:评价先天性马蹄内翻足早期软组织手术的治疗效果.方法:采用回顾性方法,对54例(72足)采用三种不同软组织手术方式治疗的先天性马蹄内翻足进行疗效随访.结果:经平均3.9年随访,单纯跟腱延长术组:良25%(1/4足);后内侧软组织松解、跟腱延长术组:优良率70.4%(19/27足);跟腱延长、胫前肌转移术组:全部达到优良(41/41足).总优良率84.70%(61/72足).结论:松解软组织、纠正畸形的同时,建立有效的肌力平衡是先天性马蹄内翻足早期软组织手术治疗的关键.
Objective: To evaluate the effect of early soft tissue surgery on congenital clubfoot.Methods: A retrospective study was performed on 54 cases (72 feet) of congenital clubfoot treated with three kinds of soft tissue surgeries.Results : After a mean of 3.9 years of follow-up, Achilles tendon lengthening alone group was 25% (1/4 foot); posterior medial soft tissue loosening and Achilles tendon lengthening were performed: the excellent and good rate was 70.4% (19/27 feet) , Anterior tibial muscle transfer group: all achieved excellent (41/41 feet). The total excellent rate was 84.70% (61/72 feet) .Conclusion: Relaxation of soft tissue, correct deformity at the same time, the establishment of an effective balance of the muscle is congenital The key to early soft tissue surgical treatment of clubfoot.