小儿扁平外翻足早期诊断与手术治疗

Early Diagnosis and Surgical Treatment of Coregnital club－foot of child

目的 探讨小儿扁平外翻足的早期诊断与手术治疗。方法 本文共收治14例26足，其中先天性扁平外翻足9例16足，先天性垂直距骨5例10足。分别采用不同的手术方法矫正。结果 根据本文列出的评分标准，14例26足优者8足，良者14足，可者4足，差者无。结论 手术治疗关键：1）手术早期施行；2）彻底松解挛缩的软组织；3）充分完全的距舟关节复位；4）复位后可靠的固定。

Objective The diagnosis and surgical treatment of corgenital club－foot of child was discussed in this paper． Methods 14 cases 26 feet were collected in which 9 cases 16 feet suffered from congenital club－foot 5 cases 10 feet suffered from congenital vertical talas All there cases were corrected with different surgical methods． Results According to the scoring criterion written in this patper in all 14 cases 26 feet 8 feet were scored best 14 feet were secored better 4 feet were scored good． Conclusion The keys of surgical treatment are 1 Early operation 2 Complete release of constricted soft tissue 3 Complete relocation of talus scaphold joint 4 reliable stabilization after relocation．