划词 中文  »  英语 翻译 人工翻译 探讨肌力平衡术治疗儿童先天性马蹄内翻足(CCF)的临床应用及近期疗效。方法：2013年至2018年采用肌力平衡术治疗儿童先天性马蹄内翻足33例共46足，所有病人均采取肌力平衡术治疗,即保持踝关节背伸5～1O°，“Z”字型延长跟腱，外移胫骨前肌腱，适当松解足后方软组织，术后长腿矫形石膏屈膝90°制动。术后6周拆石膏、拆线，不需要穿戴Dennis—Brown支具，行功能锻炼。结果：均痊愈，平均随访23个月，本组33例共46足CCF 均采用Pirani评分分类，矫正后接近正常39足，轻度异常7足，中度异常0足，重度异常0足。所有病例均无伤口感染、皮肤坏死和顽固性疼痛等。结论：肌力平衡术是治疗儿童先天性马蹄内翻足的一种理想手术方式，其特点是术中充分[作者简介：古浩然，主治医师，研究方向：创伤骨科，（电话）13369893830，（电子信箱）GUhr2013@163.com。]松解，术后并发症少，畸形纠正彻底，矫形效果好。 412/5000 To investigate the clinical application and short-term effect of muscular balance in the treatment of congenital horseshoe varus (CCF) in children. Methods: from 2013 to 2018, using muscle balancing act in treatment of children congenital horseshoe 33 cases, a total of 46 feet, all patients were treated with muscle balancing act, that maintain the ankle stretch 5 ° ~ 1 o, "Z" word extend the Achilles tendon and tibialis anterior tendons, offshoring appropriate release the rear foot soft tissue, long legs after orthopaedic gypsum knees 90 ° brake. The cast and stitches were removed 6 weeks after the operation, and functional exercise was performed without wearing Dennis - Brown braces. Results: all recovered and followed up for an average of 23 months. The CCF of 46 feet in 33 cases in this group was classified by Pirani score. After correction, the CCF was nearly normal 39 feet, mildly abnormal 7 feet, moderately abnormal 0 feet, and severely abnormal 0 feet. No wound infection, skin necrosis and intractable pain were found in all cases. Conclusion: muscular balance is an ideal surgical method for the treatment of congenital horseshoe pronation in children, and it is characterized by sufficient intraoperative procedures [author profile: gu haoran, chief physician, research direction: orthopaedic trauma, (telephone) 13369893830, (E-mail) GUhr2013@163.com]. Release, less postoperative complications, deformity correction thoroughly, orthopaedic effect is good.