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目的 :综合评价三关节融合术治疗儿麻后遗马蹄内翻足的远期疗效。方法 :用临床标准和足底压力测定对术后 16年 3个月的 2 4名病人 2 4足进行了综合评定。结果 :临床效果优良 19足 ,可 5足 ;X线片显示 :三关节融合率、踝关节退行性变发生率 10 0 %。畸形复发为肢短造成的马蹄足复发。患足疼痛发生在踝关节及足底胼胝区 ,胼胝区压力明显大于对侧足相应区域 (P <0 .0 1)。临床疗效优良者 ,其动、静态足底压力较均匀。临床疗效可者足底压力异常。结论 :用临床标准和足底压力测定综合评定足部手术效果更为客观、准确。
OBJECTIVE: To evaluate the long-term efficacy of three-joint fusion for the treatment of post-helius varus foot. Methods: The clinical standard and plantar pressure were used to evaluate the 24 cases of 24 patients after 16 years and 3 months. Results: The clinical effect was excellent in 19 feet and 5 feet. X-ray showed the fusion rate of three joints and the incidence of ankle degeneration 100%. Malformation recurrence of clubfoot recurrence of clubfoot. Foot pain occurred in the ankle and foot of the corpus callosum, and the pressure in the corpus callosum was significantly greater than that in the contralateral foot (P <0.01). Clinical effect is good, its dynamic and static plantar pressure is more uniform. Clinical efficacy may be abnormal plantar pressure. Conclusion: The comprehensive evaluation of foot surgery with clinical criteria and plantar pressure measurement is more objective and accurate.