目的 :观察胫骨后肌与腓骨长肌腱转位治疗小儿痉挛性马蹄内翻足的疗效。方法 :先行跟腱滑动延长或腓肠肌腱膜倒‘v’形切开 ,然后行胫骨后肌腱及腓骨长肌腱分别对半剖开 ,并将前者外侧半与后者内侧半在足背前外方皮下编织缝合。结果 :2 0例经平均 14个月随访 ,患儿痉挛性马蹄内翻足畸形及步态均得到较满意改善 ,其中优良率达89%。结论 :胫骨后肌与腓骨长肌对半缝合是一种安全、简便、有效的治疗小儿痉挛性马蹄内翻足的手术方法。 Objective: To observe the effect of posterior tibialis muscle and peroneus longus tendon transposition on pediatric spastic clubfoot. Methods: Achilles tendon first slide or gastrocnemius tendon membrane inverted v-shaped incision, and then the tibialis tendon and peroneus tendon were cut on the half, and the former half of the latter and the latter in the medial half of the dorsal forefoot Subcutaneous knit suture. Results: Twenty-two patients were followed up for an average of 14 months. The spastic clubfoot deformity and gait were all satisfactorily improved, with an excellent rate of 89%. Conclusion: The posterior tibial and peroneal longissimus stitches are a safe, simple and effective method for the treatment of pediatric spastic clubfoot.