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目的:为了提高儿童僵硬型马蹄内翻足的治疗效果。方法:采用广泛软组织松解、肌力平衡矫正畸形。广泛软组织松解包括足的内侧、后侧的韧带、关节囊、延长相应的肌腱。充分松解距下、跟骰关节。结果:本组41例、66只足,总优良率86.3%。结论:广泛的软组织松解,能使距骨、跟骨、舟骨、骰骨作为一个整体移动,可恢复足各骨的正常解剖关系,矫正静力畸形。胫前肌外移、跟腱充分的延长术,可调整足的动力平衡防止畸形复发
Objective: In order to improve the treatment effect of stiff type clubfoot in children. Methods: Extensive soft tissue release, muscle strength correction of deformity. Extensive soft tissue release includes the medial, posterior ligaments, articular pouch, and lengthening the corresponding tendons. Full release from the distance, with the dice joints. Results: The group of 41 cases, 66 feet, the total good rate of 86.3%. Conclusion: The extensive soft tissue release can move the talus, calcaneus, navicular bone and cuboid bone as a whole, restoring the normal anatomic relationship of all the bones and correcting the static deformity. Anterior tibialis emigration, Achilles tendon full extension surgery, adjustable foot power balance to prevent recurrence of deformity