Burgkart R, Lampe R, Gerdesmeyer L, Gradinger R
Klinik für Orthopädie und Sportorthopädie, Technische Universität München.
MMW Fortschr Med. 2003 Apr 3;145(14):33-6.
Owing to the relatively high incidence of this condition (2 in 1,000 neonates) and the poor functional outcome of inadequate treatment, clubfoot represents a major clinical problem. Although its etiology is not fully known, modern three-dimensional analyses have led to a better understanding of the pathomorphology and provide a new basis for a differentiated therapeutic strategy. Of central importance is early diagnosis and immediate postpartum initiation of primarily conservative treatment taking the form of intensive redressment measures. Depending on the residual deformity, an appropriate surgical procedure aimed at achieving complete correction should be done between the age of 4 to 6 months. To ensure a lasting positive outcome, rigorous follow-up physiotherapeutic treatment and close surveillance are essential.
由于这种病症的发病率相对较高（每1000名新生儿中有2例），且治疗不充分会导致功能预后不良，马蹄内翻足成为一个重大的临床问题。尽管其病因尚未完全明确，但现代三维分析已使人们对病理形态学有了更好的理解，并为差异化治疗策略提供了新的依据。至关重要的是早期诊断以及产后立即开始以强化矫正措施为主的保守治疗。根据残留畸形情况，应在4至6个月大时进行旨在实现完全矫正的适当手术。为确保取得持久的积极效果，严格的后续物理治疗和密切监测必不可少。
