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探讨婴幼儿期先天性马蹄内翻足,早期肌力平衡手术疗效.方法:自1987年以来对5个月~3周岁的婴幼儿应用跟腱延长,胫前肌转移为主的肌力平衡手术治疗59例,72足。结果:经随访按陆裕朴标准,优为73.1%,良为17.3%,可为9.6%,优良率占90.4%,其中5个月~1周岁以内的病例,优良率为93.8%。结论:婴幼儿期,尤其是1周岁以内的先天性马蹄内翻足,应用以肌力平衡为主的手术方法,可获得显著的临床疗效。
To explore the early childhood infantile congenital clubfoot, early balance of muscle strength surgery. Methods: A total of 59 cases (72 feet) were treated with Achilles tendon prolongation and anterior tibialis muscle muscular balance operation in children from 5 months to 3 years old since 1987. Results: According to Lu Yu-Pu’s standard, follow-up was 73.1%, 17.3%, 9.6%, excellent and good rate was 90.4%, among which 5 months to 1 year old, the excellent and good rate 93.8%. Conclusions: In infancy, especially in congenital clubfoot less than 1 year old, the application of the method of operation based on the balance of muscle strength can achieve significant clinical effect.