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目的探讨大年龄儿童先天性马蹄内翻足治疗方法及疗效。方法对 60例行跟腱延长，改良胫前肌外移术，并用后内侧软组织松解 18足，距舟、跟骰关节楔形截骨 21足，三关节固定 15足。术后配合康复治疗。结果术后随访 54例 60足 1年 10个月～ 8年，优 27足，良 24足，可 3足，差 6足，优良率 85％。结论改良胫前肌外移术后配合系统的康复治疗，对大年龄儿童先天性马蹄内翻足效果满意。
Objective To investigate the treatment and efficacy of congenital clubfoot in large children. Methods 60 cases of Achilles tendon extension, improved anterior tibialis anterior approach, and the use of the medial soft tissue release 18 feet, the boat, with the dice of the wedge osteotomy 21 feet, three joints fixed 15 feet. With postoperative rehabilitation. Results 54 cases were followed up 60 feet 1 year and 10 months to 8 years, excellent 27 feet, good 24 feet, 3 feet, poor 6 feet, good rate of 85%. CONCLUSIONS: The improved rehabilitation of the anterior tibialis anterior grafting system combined with systematic rehabilitation is satisfactory for congenital clubfoot in large children.