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目的 观察先天性多发性关节挛缩症膝和足畸形治疗。方法 回顾性报告 1980～1997年治疗 35例 4 2膝和 6 6足先天性多发关节挛缩症临床资料 ,根据Sodergard评定方法进行综合评价。结果 膝关节伸直型无论是保守治疗或手术治疗的疗效均强于屈曲型 ,足初次术后畸形复发占 73.3% ,有的足需三次手术。结论 膝部屈曲型治疗结果差 ,足部手术治疗应在 1岁前行彻底的软组织松解
Objective To observe the treatment of congenital multiple joint deformity knee and foot deformity. Methods The clinical data of 35 cases with congenital multiple joint deformities of 42 cases and 66 cases treated from 1980 to 1997 were retrospectively reported. The comprehensive evaluation was made according to the Sodergard assessment method. Results The results showed that the effect of conservative treatment or surgical treatment was stronger than that of flexion. The initial recurrence of deformity was 73.3% in some cases, and some required three surgeries. Conclusions The results of knee flexion treatment are poor. Foot surgery should be performed before the complete soft tissue release