改良手法复位早期治疗先天马蹄内翻足

Improved early manual reduction in treatment of congenital talips equino varus

目的 介绍改良手法复位早期治疗先天马蹄内翻足的方法并评价其效果。方法 采用改良手法复位治疗先天马蹄内翻足54 例69 足,其中坚持治疗56 足,同步矫正前足内收、内翻、足跟内翻、足下垂。结果 手法治疗3 ～6 个月,按优、良、可、差评价疗效。松软型39 足中,优19 足,良11 足,可8 足,差1 足,优良率76-9 % ;僵硬型17 足中,优5 足,良5 足,可3 足,差4 足,优良率58-8 % 。总优良率71-5 % 。结论 该法治疗先天马蹄内翻足,符合生物力学逆转原理,能有效恢复患足正常生理解剖。

Objective To introduce the methods of improved early manual reduction in treatment of congenital talips equino varus and estimate effect of the treatment. Methods 54 cases (69 feet) were treated by the improved method. 69 feet had undergone the method. Meanwhile adduction and inversion of foot, inversion of heel and foot prolapse were corrected. Results These patients were treated for 3～6 months. The results were assessed by 4 degrees: excellent, good, favorable and bad. Among 39 slack type feet, excellent 19, good 11,favorable 8 and 1 bad were found. Among 17 stiff type feet, excellent 5, good 5, favorable 3 and 4 bad were known. The combined excellent and good rate were 76 9% and 58 8% in slacked type and stiffed type respectively and total excellent and good rate was 71 5%. Conclusion This method is used according as the course in which the deformities reverse in biomechanics and these feet can get normal physiological anatomic construction.