马蹄足与马蹄内翻足的分类及外科治疗策略

马蹄足与马蹄内翻足畸形是下肢畸形中最常见的畸形,其成因复杂,治法众多。为规范治疗及疗效评价,因此有必要对畸形进行分类。以便更好地制定手术策略。秦泗河等国内外学者为此做了大量的工作。对马蹄足及马蹄内翻足进行分类并制定手术策略。根据其成因将畸形分为:先天性、麻痹性、创伤性及痉挛性等。分型的目的是为了更好的治疗,一个良好的手术方案的设计和实施应该达到:足部无疼痛;能用足底负重;步态及外形美观;能穿正常的鞋;足要有弹性;病人及家属满意。将各种畸形逐渐细化,制定手术策略。简要评价了Ilizarov技术在马蹄足畸形矫治方面的应用。

The Classification of Deformity of Talipes Equinus and Talipes Equinovarus and the Pre-operation Planning of Surgical Techtuque

It is the most common deformity of talipes equines and talipes equinovarus in inferior extremity with complicated etiological factor and multitude treatment method.It is important to formulate propotional planning of treatment with classification deformity of talipes equines and talipes equinovarus.For this reason,domestic and abroad specialist has taken a manifold of endeavor. According to etiological factor to divide talipes equines deformity including:inborn deformity;spastic deformity;traumatic occlusion deformity; paralysis deformity,etc. The purpose of the classification is to cure the type of deformity better than before ,and the satisfactory preoperation planning of surgical technique should be achieved.including:No pain of foot;weight loading of footplate; beautiful outlook and walking; to wear normal shoes; flexibility of foot; satisfaction of patient and family member; the zoom of various kinds deformity and planning of surgical technique.In the articles,therapy of talipes equines by Ilizarov technology also be introduced briefly.