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[摘要]
先天性马蹄内翻足 (congenital clubfoot,CCF)是矫形外科最常见的先天性足部畸形之一,主要表现为踝关节跖屈、中足凹陷、后足内翻、前足内收以及胫骨内旋畸形。目前,普遍用Ponseti方法来矫治CCF,但因不同患儿初始畸形的类型和程度不同,不同医生对Ponseti原则的把握不同以及患儿家长的依从性不足,重度CCF患儿的治疗效果并不理想,一部分患儿可能会出现复发或残余畸形。严格遵循Ponseti原则和提高患儿家长对CCF的认知和依从性对CFF患儿的预后有重要意义。
[Key word]
[Abstract]
CCF(congenital clubfoot) is one of the most common congenital foot deformities in orthopedic surgery, including ankle metatarsal flexion, middle foot depression, hindfoot varus, forefoot adduction and tibial internal rotation deformity. At present, Ponseti method is widely used to correct CCF, but because different children have different types and degrees of initial deformities, different doctors have different grasp of Ponseti principles and lack of parents' compliance, the therapeutic effect of children with severe CCF is not ideal, and some children may have recurrence or residual deformities. Strictly following the principle of Ponseti and improving parents' cognition and compliance with CCF are of great significance to the prognosis of children with CFF.
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