马蹄足畸形的分型和手术方案制定

The Classification of Lalipes Equinus Defomity and the Preoperation Planning of Surgical Technique

目的 :研究马蹄足畸形的分型与正确手术方案的制定。方法 :采用回顾性研究方法对 1980～ 1996年 3月手术治疗的 2 3 81例、2 465个足进行总结统计分析 ,将马蹄足畸形分为跟腱挛缩型 ;跗骨高弓型 ;跖骨头下垂型和混合型 ,并分析了 6种马蹄足畸形的特殊表现形式。根据不同的类型制定了较正确的手术方案。结果 :10 74个足术后平均获得 3年 6个月随访 ,10 11个足畸形矫正和功能恢复达到术前设计的矫正效果 ,优良率 94.1%。结论 :应用马蹄足畸形的分型 ,能够制定正确的手术方案 ,提高治疗效果 ,减少手术并发症和术后畸形的复发。

Objective: to research the classification of lalipes equinus and the proper planning of operative protocal.Method:There were 2381 cases(2465 feet) accepting operation from 1980 to March, 1996, which were statistically analysed by applying retrospective study. The lalipes equinus deformity was classified: the type of contracture of Achilles tendon, the type of high arc of tarsal bone,the type of ptosed metatarsal bone and the mixed type of metatarsal bone. And the special manifestations of 6 kinds of lalips equinus deformity were analysed.We made proper operative protocal according to different types. Result: 1074 feet were followed up after operation for an average of 42 months.The deformity correction and rehabilitation of 1011 feet came up to the correction effect of preoperative design.The excellent rate was 94.1%..Conclusion:Applying the calssification of lalipes equinus deformity can make correct surgical protocal, ad increase curative effect and reduce the operative complications and recurrence of deformity.