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目的分析先天性马蹄内翻足肌力平衡术后继发外翻的原因并提出预防措施。方法对 23例 24足先天性马蹄内翻足肌力平衡术后继发外翻的原因进行分析。结果手术后继发外翻的主要原因包括肌力平衡术中解剖定位错误、转移肌腱附丽点选择不当，张力过大等。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是预防肌力平衡术后继发外翻的关键。
Objective To analyze the causes of secondary eversion and propose preventive measures for congenital clubfoot strength balance. Methods The causes of secondary eversion of 23 patients with 24-foot congenital clubfoot were analyzed. Results The main causes of secondary eversion after surgery include anatomical errors in intraoperative muscular balance, improper selection of transfer tendons and excessive tension. Conclusions While thoroughly soft tissue release and correction of deformities, well-developed muscles, proper tendon attachment to the hyperlipidemia site (third wedge bone is appropriate) and proper tension to establish an effective muscular balance are measures of prevention of muscular balance postoperatively Secondary eversion of the key.