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目的 分析先天性马蹄内翻足手术后复发的原因并提出预防措施。方法 对 66例 87足先天性马蹄内翻足首次手术后畸形复发的原因进行分析。结果 手术后复发的主要原因包括单纯软组织松解手术 (34足 )，转移肌肉发育差 (9足 )，肌力平衡术中解剖定位错误、转移肌腱附丽点选择不当 (27足 )，术后石膏松脱致附丽点脱落 (17足 )。结论 在彻底软组织松解、纠正畸形的同时，选择发育良好的肌肉、正确的肌腱附丽点位置 (第 3楔状骨为宜 )及合适的张力以建立有效的肌力平衡并注意加强术后石膏管理是预防手术后畸形复发的关键。术后定期复查，对术后复发病例早发现、早期正确手术处理，仍可取得较好疗效。
Objective To analyze the causes of recurrence after congenital clubfoot and to provide preventive measures. Methods The causes of recurrence of deformity in 66 cases of 87 cases of congenital clubfoot after the first operation were analyzed. Results The main causes of postoperative recurrence included simple soft tissue loosening operation (34 feet), poorly metastatic muscle development (9 feet), incorrect anatomy and location of intramuscular force balance, poor choice of transfer tendon attachment (27 feet), postoperative plaster Loosen caused by beautiful off (17 feet). Conclusions While thoroughly soft tissue release and correction of deformities, select the well-developed muscle, correct tendon attachment point (third wedge bone is appropriate) and appropriate tension to establish an effective balance of muscle strength and pay attention to strengthening postoperative gypsum management Is to prevent the recurrence of postoperative deformity the key. Regular postoperative review, early detection of postoperative recurrence cases, the early correct surgical treatment, can still get better results.