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目的探讨联合多种术式治疗儿童先天性症状型扁平足的近期临床及放射学效果。方法自2008年8月至2011年8月我院共收治儿童可塑性症状型扁平足32例,共38足,均为单纯性扁平外翻足。手术年龄12~14岁,平均年龄12岁零8个月。全部行趾长屈肌腱下移、跟骨截骨内移、延长术。结果本组所有病例随访时间2~3年,所有患者负重条件下测量术前、术后2个月时侧位片距骨第一跖骨角、跟骨距骨角、跟骨倾斜角,正位片距骨第一跖骨角,取平均值,足印法进行前后数值对比。结论对于保守治疗无效、症状型儿童可塑性扁平足,采用联合术式治疗,能发挥各个术式的优势,效果优良,但其长期疗效还需进一步随访观察。
Objective To explore the short-term clinical and radiological effects of combined multiple surgical treatment of congenital symptomatic flatfoot in children. Methods From August 2008 to August 2011, a total of 32 cases of plastic flat symptom in children were treated in our hospital, with a total of 38 feet, all of which were simple flat valgus. The operative age ranged from 12 to 14 years with an average age of 12 years and 8 months. All the line toe flexor tendon down, calcaneus osteotomy shift, prolongation. Results All patients were followed up for 2 to 3 years. All patients underwent preoperative and 2 months after operation. The first metatarsal angle, calcaneal talus angle, calcaneus tilt angle, The first metatarsal angle, take the average, footprints method before and after comparison of numerical. Conclusions For the conservative treatment is invalid, the symptoms of plastic flat feet, the use of joint surgery, can play all the advantages of surgery, the effect is good, but its long-term effect needs further follow-up observation.