可调式矫形器治疗婴儿先天性马蹄内翻足51例

目的探讨可调式矫形器治疗婴儿先天性马蹄内翻足的方法及疗效。方法回顾性分析2010年3月至2014年5月经本院门诊治疗的先天性马蹄内翻足51例(68足),均采用可调式矫形器治疗,并进行定期随访和疗效评定。结果 51例平均随访3年(2.5~3.5年),68足中,优58足(58/68,85.29%),良7足(7/68,10.29%),差3足(3/68,4.41%)。≤3月龄组患儿疗效优良率为97.50%;4~6月龄组疗效优良率为92.86%,两组差异无统计学意义。结论可调式矫形器治疗婴儿先天性马蹄内翻足疗效确切,其远期疗效尚待进一步研究。

Efficacies of adjustable orthoses for congenital clubfeet:a report of 51 cases

Objective To evaluate the efficacies of adjustable orthoses for congenital clubfoot of infants. Methods A total of 51 cases (68 feet)with clubfeet wearing adjustable orthoses from March 201 0 to May 201 4 were reviewed retrospectively.All patients were aged under 6 months at the start of treatment.The clinical out-comes were classified as excellent (plantigrade foot with or without tendoachilles lengthening),fair (limited surgery)or poor (posteromedial release). Results The mean follow-up period was 3 (2.5 ~3.5 )years. Among 68 clubfeet,58 feet (85.29%)were graded as excellent,7 feet (1 0.29%)fair and 3 feet (4.41%) poor.Patients starting treatment between 4 and 6 months failed to achieve significantly worse outcomes than those starting under 3 months. Conclusions Satisfactory outcomes of infantile clubfeet may be achieved by wearing adjustable orthoses.Additional studies with longer follow-ups are necessary for determining long-term efficacy.