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目的评价6个月内婴幼儿先天性马蹄内翻足Ponseti疗法的效果。方法回顾性分析我院2007年9月—2011年9月采用Ponseti疗法治疗6个月内婴幼儿先天性马蹄内翻足54例86足的临床资料。结果全部病例均获随访,随访时间6～54个月,按Pirani标准评价疗效,优良率100%。所有患儿足外观畸形纠正,皮下触及跟腱连续有力,踝关节可背屈达10～20°,跟骨无内翻,高弓消失,无“摇椅足”发生,已行走的患儿足发育及关节功能良好,步态正常,X线表现正常。结论 Ponseti疗法治疗6个月内婴幼儿先天性马蹄内翻足具有方法简单、效果确切等优点,是一种很好的保守治疗方法,可作为6个月内婴幼儿先天性马蹄内翻足的首选治疗方法。
Objective To evaluate the effect of Ponseti therapy on congenital clubfoot in infants and children within 6 months. Methods The clinical data of 54 cases and 86 cases of congenital clubfoot from 6 months in our hospital from September 2007 to September 2011 were retrospectively analyzed. Results All cases were followed up for 6 to 54 months. The efficacy was evaluated according to Pirani criteria. The excellent and good rate was 100%. All children with correct appearance of the foot deformity, continuous subcutaneous touch Achilles tendon, ankle can be dorsiflexed 10 ~ 20 °, calcaneal no inversion, high bow disappeared, Foot development and good joint function, normal gait, X-ray showed normal. Conclusions Ponseti therapy is a good conservative treatment for congenital clubfoot in infants and young children within 6 months because of its simple method and exact effect. It can be used as a congenital clubfoot in 6 months Preferred treatment.