先天性马蹄内翻足早期康复治疗的近期疗效

目的探讨对先天性马蹄内翻足行早期康复治疗的方法和疗效。方法运用手法矫正、外固定、矫正支具等方法，对18例32足先天性马蹄内翻足进行早期康复治疗。结果9例17足在新生儿期开始治疗者有效率达100％，9例15足婴幼儿期开始治疗者有效率为60％。结论对不同程度的先天性马蹄内翻足畸形早期康复可以获得满意的疗效。

Early rehabilitative therapy for congenital club foot

Objective To evaluate the results of early rehabilitative therapy for congenital club foot. Methods Eighteen infants (32 feet) with congenital clubfoot were managed with the sequential manipulation, cast and correcting brace in our institute. All of them were followed up. The appearance and function of ankle were recovered. Results The deformities in 9 cases (17 feet) who underwent rehabilitative therapy beginning at neonatal period had been totally ameliorated, none of them needed to undergo surgery, and the success rate was up to 100%. On the other hand, the success rate in the other 9 infants (15 feet) who underwent therapy at toddler period was significantly decreased to 60%. And 3 cases had to undergo operations to correct the deformities. Conclusions It is necessary to undergo rehabilitative therapy for infants with congenital clubfoot as early as possible to improve the success rate of treatment.