先天性马蹄内翻足软组织术后功能与形态评价

摘要

Eighty feet in 55 cases of congental clubfoot after soft tissue procedure were followed up for an.average of 6.8 years.They were evaluated functionally and morphometrically by new hundred-mark scoring system.78.7% of cases were excellent and good.74.6% and 67.2% of patients had deformity of the talus and navicular respectively.The worst changes included the flattening or disappearing of the talus trochlea and the cuneiformation and subluxation of the navicular bone.It is very important to restore the normal dorsiflexion of the ankle.65.7% of this group had poor ankle dorsiflexion resulted in an affected weight bearing and squatting posturing.%先天性马蹄内翻足55例,80足软组织术后随访平均6.8年,采用功能与形态结合的百分制评分法评定,优良率为78.8%.发现距、舟骨出现程度不同的形态改变,分别为74.6%和67.2%,表现距骨滑车消失,舟骨楔形变及半脱位.中、重度踝关节背伸障碍占65.7%,直接影响足部持重功能及下蹲的稳定性.