可调式矫形器治疗婴儿先天性马蹄内翻足51例

Efficacies of adjustable orthoses for congenital clubfeet:a report of 51 cases

目的探讨可调式矫形器治疗婴儿先天性马蹄内翻足的方法及疗效。方法回顾性分析2010年3月至2014年5月经本院门诊治疗的先天性马蹄内翻足51例（68足），均采用可调式矫形器治疗，并进行定期随访和疗效评定。结果51例平均随访3年（2．5-3．5年），68足中，优58足（58／68，85．29％），良7足（7／68，10．29％），差3足（3／68，4．41％）。≤3月龄组患儿疗效优良率为97．50％；4～6月龄组疗效优良率为92．86％，两组差异无统计学意义。结论可调式矫形器治疗婴儿先天性马蹄内翻足疗效确切，其远期疗效尚待进一步研究。

Objective To evaluate the efficacies of adjustable orthoses for congenital clubfoot of infants. Methods A total of 51 cases （68 feet） with clubfeet wearing adjustable orthoses from March 2010 to May 2014 were reviewed retrospectively. All patients were aged under 6 months at the start of treatment. The clinical out- comes were classified as excellent （plantigrade foot with or without tendoachilles lengthening）, fair （limited surgery） or poor （posteromedial release）. Results The mean follow-up period was 3 （2.5 ~ 3.5） years. Among 68 clubfeet, 58 feet （85.29%） were graded as excellent, 7 feet （ 10.29% ） fair and 3 feet （4.41%） poor. Patients starting treatment between 4 and 6 months failed to achieve significantly worse outcomes than those starting under 3 months. Conclusions Satisfactory outcomes of infantile clubfeet may be achieved by wearing adjustable orthoses. Additional studies with longer follow-ups are necessary for determining long-term efficacy.