胫前肌半腱外移治疗马蹄内翻足畸形

Shifting half of anterior tibia for treatment of the monstrosity of crossfoot

目的 :对胫骨前肌外移治疗内翻足畸形的手术方法进行改良 ,探讨肌腱移位治疗内翻足畸形的最佳方法。方法 :将胫前肌半腱 (外侧 1/2 )外移代替瘫痪的腓骨长、短肌 ,配合足部软组织松解或关节融合术 ,治疗马蹄内翻足畸形。结果 :术后 8个月～ 2年随访结果 ,优 15例 ,良 4例 ,优良率 86 4 %。结论 :利用胫前肌外侧 1/2外移治疗内翻足畸形的手术设计具有可靠的解剖依据 ,其近、远期疗效较传统术式满意 ,为一有临床价值的手术方法。

Aim: Improving the method of the shifting the anterio tibia muscle for treatment of monstrosity of crossfoot, and seeking a best method for treating the monstrosity of crossfoot. Methods: 1/2 anterior tibia muscle shifting were used to take the place of long peroneal muscle and short peroneal muscle of paralysis. 13 of 22 cases are congenital talipes equinovalgas, 9 are monstrosity of crossfoot of poliomyelitis. Results: The results follow-up 8 months to 2 years: Rate of excellent was 86.4%. Conclusion: The method used has reliable anatomic dependencies, and the curative of short team and of forward is sacisfactory . So we think it an effective operative clinical method. [