Japas手术治疗儿童特发性高弓足的疗效观察

目的介绍和评价Japas手术治疗儿童特发性高弓足的疗效。方法采用Japas手术治疗儿童特发性高弓足7例12足．主要从足外形的改善、足负重及行走功能、X线测量结果等方面评价临床疗效。结果平均随访25个月（12～36个月）．跗骨截骨处平均愈合时间7周。10足外形、足负重及行走功能均明显改善，2足因未行跟骨内翻矫形致畸形复发。X线片显示跟骨背伸角由术前平均42．67°降至23．33°，Meary角南术前平均36°降至12．5°。本组疗效优2足，良8足，差2足，优良率为83．3％。结论Japas手术是治疗儿童特发性高弓足的有效方法。对合并明显跟骨内翻的高弓足需加行跟骨截骨术。

The Clinical Research for Idiopathic pes cavus in children with Japas Operation

Objective To analysis the effect of Japas Operation in the treatment for idiopathic pes cavus in children. Methods Seven children with idiopathic talipes eavus （12 feet） were treated by Japas Operation. The foot and leg were immobilized in cylinder cast for 8 weeks after operation. All children got follow-up, time varied from 12 months to 36 months （average25 months）. The results were evaluated according to the weight-bearing function and X-ray measurement. Results Tarsal osteotomy healing of was achieved at 6-Sweeks and all children began to walk in 12 weeks postoperatively, The appearance, weightbearing and walking were significantly improved in 10 feet , through the X-ray, the calcaneal pitch angle decreased from 42.67 degree to 23.33 degree and Meary angle decreased from 36 degree to 12.5 degree postoperatively on average. In this group, excellent outcomes were obtained in 2 feet, good in 8 feet, fair in 2 feet. The excellent and good rate was 83.3%. Conclusions Japas operation is an effective surgical technique in treatmeant of idiopathic pes cavus in children.