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目的：推荐治疗重度先天性马蹄内翻足的新的手术方法，以提高疗效。方法：距下完全松解术治疗重度先天性马蹄内翻足１４例２４足。１４例均为男性，平均年龄２２个月，最小年龄６个月，最大４岁。１０例为双侧足畸形，４例为单足，其中３例为左侧，１例为右侧。术后平均随访３年９个月，最短为１３个月，最长为５年。结果：畸形完全纠正为１９足占７９．１％，畸形复发４足占１６．６％，１足并发足外翻畸形占４．１％，１足局部皮肤坏死占４．１％。结论：距下完全松解术，跟骨与距骨之间得到充分旋转复位，而使畸形得到较好的纠正。
Objective: To recommend a new surgical method for the treatment of severe congenital clubfoot to improve the curative effect. Methods: Totally 14 cases of severe congenital clubfoot were treated with complete ablation. All 14 patients were male, with an average age of 22 months, a minimum age of 6 months and a maximum of 4 years. Ten cases were bilateral foot deformities and four cases were single feet, of which three were left and one was right. The average follow-up after 3 years and 9 months, the shortest of 13 months, up to 5 years. Results: Complete deformity correction was 19.1% (79.1%), deformity recurrence was 4 (16.6%), 1 foot with full valgus deformity was 4.1%, and 1 foot was 4.1%. Conclusion: The complete ablation from the next surgery, the calcaneus and the talus are fully rotated reset, leaving the deformity to be better corrected.