Niedzielski K, Synder M, Zwierzchowski T J, Domzalski M
Katedra i Klinika Ortopedii, Akademia Medyczna w Łodzi.
Chir Narzadow Ruchu Ortop Pol. 2001;66(1):5-11.
The authors present an analysis of failed surgery in 139 patients with congenital clubfeet. There were 72 feet, which required repeated surgical procedures after primary treatment. Twelve feet were treated by posterior release, and 65 by postero-medial release. The repeated reconstruction was performed at a mean age of 3.6 years. No very good results were found in either group at final follow-up, done according to the Magone et al. classification. In the first group treated by posterior release god results were noted in 53.3% of the cases, sufficient in 43.1% and poor in 38.5%. The authors underline that the final results depend on early consequent conservative treatment, use of adequate operating techniques and cooperation between child, parents, physician and orthotic specialist.
作者对139例先天性马蹄内翻足手术失败病例进行了分析。其中72只足在初次治疗后需要再次手术。12只足采用后侧松解术治疗，65只足采用后内侧松解术治疗。再次重建手术的平均年龄为3.6岁。根据马戈内等人的分类法进行的最终随访发现，两组均未获得非常好的结果。在第一组接受后侧松解术治疗的病例中，53.3%的结果为良好，43.1%的结果为尚可，38.5%的结果为差。作者强调，最终结果取决于早期持续的保守治疗、适当手术技术的应用以及患儿、家长、医生和矫形专科医生之间的合作。
