联合手术方法治疗儿童先天性马蹄内翻足

Surgical treatment of children congenital idiopathic clubfoot with combined operation

目的探讨联合手术方法治疗小儿先天性马蹄内翻足。方法18例33足先天性马蹄内翻足患儿。采用联合手术方法包括跟腱冠状位延长、胫前肌移位、足内侧短缩软组织切开、跖筋膜切断和骰骨内“V”形截骨。结果14例25足获得随访。随访时间6～18月,平均7月。优良13例24足,1例1足手术效果差。结论联合手术方法治疗儿童先天性马蹄内翻足具有减少手术次数、短期无复发的优点。

Objective To explore the treatment of children congenital idiopathic clubfoot with combined operation. Methods 18 cases （33 feet） of congenital idiopathic clubfoot were treated with combined operation, including lenthening of the calcaneal tendon in coronal plane, division of the short soft tissues at the medial side of the foot, transfer of the tibialis anterior, incision of the aponeurosis plantalis and the ＂V＂shape cuboideum osteomy. Results 14 cases （25 feet ） were available at follow-up with a mean duration of 7 months （ranging from 6 to 18 months）. The results were excellent and good in 13 cases（24 feet） and poor in l case（ 1 foot） . Conclusions The combined operation method is effective for the treatment of children congenital clubfoot, which has advantage of fewer operation times and no recurrance in short term.