作者分析先天性、麻痹性和痉挛性马蹄内翻足不同病理特点,采用不同治疗方案治疗马蹄内翻足76例108足,随访8个月～7年,优良率为89.3％。对先天性马蹄内翻足,其治疗重点是彻底松解,平衡肌力和矫正骨畸形。对麻痹性下垂内翻足,重点是平衡肌力,而对痉挛性马蹄内翻足,肌力平衡不等于痉挛平衡,最好先行降低肌张力和痉挛的SPR手术,否则在行肌力平衡的同时尽量使紧张性痉挛得到平衡或使其缓解。 The authors analyzed the different pathological characteristics of congenital, paralytic and spastic clubfoot. The treatment of 76 cases with 108 cases of clubfoot by different treatments was performed. The follow-up ranged from 8 months to 7 years. The excellent and good rate was 89.3%. On the congenital clubfoot, the focus of its treatment is to completely release, balance muscle strength and correct bone deformity. For paralytic ptosis, the focus is to balance muscle strength, and spasmodic clubfoot, muscle strength does not equal the balance of spasticity, it is best to reduce muscle tension and spasm SPR surgery, or in the line of balance At the same time try to balance or relieve tension cramps.