足后内侧松解胫前肌外移治疗小儿先天性马蹄内翻足的体会

摘要

Objective To investigate the tibialis anterior muscle transfer ef ect in the treatment of children with congenital clubfoot. Methods 61 cases with 106 foot for foot posteromedial release and anterior tibial shift on congenital talipes equinovarus in children. Results 4 years of fol ow-up in 18 cases 34 feet 52 feet, 6 years of fol ow-up, the appearance was satisfactory, ankle and foot activities basical y normal, flat foot can walk, check the children to wear shoes with no significant dif erence in normal children sole. The total excellent and good rate was 93%.Conclusion Anterior tibial muscle tendon transfer in treatment of children with congenital talipes equinovarus, think age is smal , strong ability of tarsal bone remodeling, the relationship between easy to return to normal, quickly into the normal morphological development.%目的：探讨胫前肌外移治疗小儿先天性马蹄内翻足的疗效。方法对小儿先天性马蹄内翻足61例106只足行足后内侧松解胫前肌外移。结果随访4年18例34只足，随访6年52只足，外形满意，踝关节和足的各项活动基本正常，足能放平走路，检查患儿鞋底磨损与正常儿童鞋底无明显差别，总优良率93%。结论胫前肌外移治疗小儿先天性马蹄内翻足，认为年龄小，骨塑形能力强，跗骨间关系容易恢复正常，较快进入正常形态发育。