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用Turco松解胫前肌外移术治疗小儿先天性马蹄内翻足130例190足,平均随访6年。矫治最大度数:足跖屈畸形40°、前足内收45°、跟内翻30°,双踝联线与足底纵轴线夹角由40~70°恢复至80~90°,踝能背屈15~25°,跖屈15~30°。以Garceau评价标难评定疗效,总优良率94%,复发率6%。步态和鞋底磨损与正常儿童无明显差别。一次性彻底松解同时外移胫前肌,恢复了足的生物力学结构,能使患足恢复良好外形和功能。手术年龄以2个月至1岁为合适,复发与分次治疗、术中松解不够、患儿年龄偏大有关。
Treatment of 130 cases of congenital clubfoot in 190 cases with Turco release anterior tibialis anterior approach was performed with a mean follow-up of 6 years. The maximum degree of correction: plantar flexion deformity 40 °, anterior adduction 45 °, with varus 30 °, double ankle line and the longitudinal axis of the foot from 40 ~ 70 ° to 80 ~ 90 °, ankle dorsiflexion 15 ~ 25 °, plantar flexion 15 ~ 30 °. To Garceau evaluation standard difficult to assess the curative effect, the total excellent rate of 94%, the recurrence rate of 6%. Gait and sole wear no significant difference with normal children. A one-time complete release of the anterior tibialis at the same time and relocated the full biomechanical structure, can make the affected foot to restore good shape and function. Surgical age of 2 months to 1 year for the appropriate, recurrence and sub-treatment, intraoperative release is not enough, the older children.