先天性马蹄内翻足的外科治疗进展  

Surgical Treatment Progress of Congenital Talipes Equinovarus

作　　者：罗丹(综述) 黄玉静(审校) LUO Dan;HUANG Yujing(Department of Pediatric Surgery,West China Hospital,Sichuan University,Chengdu 610041,Sichuan,China;Operation Room,the Third People's Hospital of Zigong City,Zigong 643000,Sichuan,China)

机构地区：[1]四川大学华西医院小儿外科,四川成都610041 [2]自贡市第三人民医院手术室,四川自贡643000

出　　处：《中国美容医学》2024年第6期180-184,共5页Chinese Journal of Aesthetic Medicine

摘　　要：先天性马蹄内翻足(Congenital talipes equinovarus,CTEV)是临床常见的下肢畸形,新生儿时期为治疗的最佳时机,患儿主要表现为先天性马蹄畸形、前足内收、后足内翻等症状,严重影响足功能。CTEV的发病机制尚未完全明确,遗传、神经肌肉发育异常、骨骼发育异常、产妇宫内压异常等均为其致病因素。CTEV的外科治疗包括手术及非手术干预,总体以恢复足部正常形态,改善足部活动性,降低后遗畸形及复发为目的。非手术治疗包括Ponseti法、French法等,手术治疗主要包括软组织松解术、肌腱转移术及骨性手术。本研究对CTEV的流行病学、病因、手术治疗、复发情况进行综述,以期为CTEV的临床治疗提供参考。Congenital talipes equinovarus(CTEV)is a common lower limb deformity in clinical practice.Neonatal period is the best time for treatment of CTEV,and the main clinical manifestations of children are congenital horseshoe deformity,forefoot adduction,hindfoot varus and other symptoms,which seriously affect the foot function.The pathogenesis of CTEV has not been completely clarified,and genetics,abnormal neuromuscular development,abnormal skeletal development and abnormal maternal intrauterine pressure are all pathogenic factors.The surgical treatment methods of CTEV include surgical and non-surgical interventions,which are generally aimed at restoring normal foot shape,improving foot mobility,and reducing residual deformities and recurrence.Non-surgical treatment methods include Ponseti method and French method,and surgical treatment methods mainly include soft tissue release,tendon transfer and bone surgery.This study reviews the epidemiology,etiology,surgical treatment and recurrence of CTEV in order to provide reference for the clinical treatment of CTEV.

关 键 词：先天性马蹄内翻足 手术 病因 复发 流行病学 

分 类 号：R622[医药卫生—整形外科]