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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。
Objective To improve the therapeutic effect of congenital clubfoot and reduce its complication and recurrence rate. Methods 315 cases (484 feet) of congenital clubfoot from 5 months to 14 years old were treated with posterior loosening, anterior tibialis anterior eminence, Evans and Ilizarov operation. The curative effect was evaluated according to Garceau curative effect standard. Results A total of 126 patients (186 feet) were followed up for an average of 3 to 8 years. There were 85 patients (125 feet), 37 patients (55 feet) good and 4 patients (6 feet). The excellent and good rate was 98%. Conclusions The operative efficacy has significant relationship with the major muscular function, ankle deformity and the age of the ankle. Early correction of deformity and the establishment of dynamic muscular balance surgery is an effective method for the treatment of children with congenital clubfoot, can reduce complications and reduce the recurrence rate.