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为了提高先天性马蹄内翻足的治疗效果，减少其并有症和复发率，对手术法进行改进。经后内侧松解足背皮瓣旋转治疗先天性马蹄内翻足２１例（３５足），其中８例（１３足）行内侧韧带重建。手术年龄５个月～３岁。随访１８例（３２足），根据足外形、踝关节活动度、步态、行走时疼痛和Ｘ线表现，并参照Ｊｅｒｒｙ等评估方法进行疗效评定。结果优２６足（８１％），良５足（１６％），差１足（３％）。改进后的手术方法使足内侧软组织松解满意，可在无张力下缝合内侧切口，跗骨关节能完全复位，增加了足内侧稳定性，减少了远期并发症和降低了复发率。
In order to improve the therapeutic effect of congenital clubfoot, and reduce its rate of symptomatic and recurrence, to improve the surgical method. Twenty-one cases (35 feet) of congenital clubfoot were treated by medial release of the dorsalis pedis flap, of which 8 cases (13 feet) underwent reconstruction of the medial ligament. The operating age of 5 months to 3 years old. Eighteen cases (32 feet) were followed up. The pain and X-ray findings were evaluated according to the foot shape, ankle motion, gait, and walking. The curative effect was evaluated according to Jerry et al. Results excellent 26 feet (81%), good 5 feet (16%), poor 1 foot (3%). The improved surgical method can release the medial soft tissue satisfaction, can be sutured without tension under the incision, tarsal joint can be completely reset, increased foot medial stability, reduce long-term complications and reduce the recurrence rate.