软组织松解结合截骨治疗僵直性先天性马蹄内翻足

Treatment of severe rigid talipes equinovarus deformity using osteotomy combined with soft tissue release

目的探讨软组织松解和(或)截骨治疗僵直性先天性马蹄内翻足畸形的手术方法及疗效。方法 2003年1月至2007年12月采用软组织松解和(或)截骨治疗僵直性先天性马蹄内翻足患者7例13足。男3例6足,女4例7足;年龄3～12岁,平均(5.3±3.1)岁;术前畸形程度按Dimeglio评分系统进行评分为13～20分,平均(15.1±2.2)分。按其评分进行分类,Ⅲ度畸形10足,Ⅳ度畸形3足。结果 7例13足的Cummings评分为31～88分,平均(75.5±14.3)分,其中优3足,良9足,差1足。结论充分而有序的软组织松解结合有限的截骨治疗僵直性先天性马蹄内翻足可获得良好疗效。

Objective To explore the outcomes of osteotomy combined with soft tissue release in treatment of the severe rigid talipes equinovarus deformity.Methods The technique of osteotomy combined with soft tissue release was used in 7 patients（13 feet） with severe rigid talipes equinovarus deformity.There were 3 males（6 feet） and 4 females（7 feet） with an average of 5.3±3.1 years（range from 3 to 12 years old）.Results Prospective goals of correction were made in all the cases.The results were assessed by Cummings.For 13 patients（16 feet）,3 feet achieved excellent,9 feet good results and 1 feet poor results,respectively.Conclusion The technique of osteotomy combined with soft tissue release in treatment of the severe rigid talipes equinovarus deformity has good results and clinical value.