摘要
目的:探讨不同手术方式治疗先天性马蹄内翻足治疗效果。方法:回顾性分析202例(298足)先天性马蹄内翻足患者的临床资料,根据患者的年龄、内翻足畸形和僵硬程度的不同分别采用跟腱延长+软组织松解、跖筋膜松解、跟腱延长+骰骨截骨或胫前肌外移、跟腱延长+距骨切除、跟腱延长+三关节融合+距骨切除等手术方式进行治疗。结果:202例平均随访时间10个月,优136例,良30例,可2例,差34例,优良率达82.2%。结论:严格把握手术指征、准确定位、仔细操作,正确配合矫形石膏和支具的使用,可保证手术的成功,外观和功能较满意。
Objective： To explore the therapeutic efficacy of all categories of operation in congenital talipes equinovarus. Methods： From June 2002 to June 2007, 202 patients （298 feet） with congenital talipes equinovarus admitted in our hospital, and the operations such as the Achilles tendon lengthening＋solution of soft tissue, the solution of metatarsus fascia, the Achilles tendon lengthening＋cuboid bone osteoectomy or tibialis anterior tendon transfer, the Achilles tendon lengthening＋talus excision, the Achilles tendon lengthening＋fusion of tri-joints＋talus excision etc, were adoptted. Results： The 202 patients were all followed-up, 10 months on everage. To evaluate according to Huang＇s standard, the result were： the excellent were136 patients, the good were 30 patients, the middle were 2 patients and the bad were 34 patients. The good-excellent rate was 82.2%. Conclusions： Choosing the different operations according to the age and the difference of varus, adduction, plantar flexion, degree of stiffness; grasping the operative indication strictly; operating carefully; applying the reshaping-plaster and orthosis correctly, all of above make sure the success of the operation and get the satisfactory effect on appearance and function.
出处
《新疆医科大学学报》
CAS
2008年第2期185-186,189,共3页
Journal of Xinjiang Medical University
关键词
先天性马蹄内翻足
矫形手术
疗效
congenital talipes equinovarus
orthopaedic treatment
therapeutic effect
