Uglow Michael G
Consultant Orthopaedic Surgeon, Department of Orthopaedics, Mailpoint 045, Southampton University Hospitals NHS Trust, Tremona Road, Southampton, UK.
Int J Low Extrem Wounds. 2005 Dec;4(4):242-8. doi: 10.1177/1534734605283546.
The traditional treatment for talipes equinovarus (TEV) has been open surgery in many units around the world. The complication rates for primary corrective surgery are relatively small but may affect outcome significantly. The complications of surgery in relapsed TEV are more frequent than for primary surgery, and problems relating to wound healing present difficult challenges to the treating surgeon. An overview of the approaches to management of this still challenging condition are presented, and the factors involved in wound healing problems and strategies for their prevention and treatment are presented. In particular, the belated but rapid spread worldwide of the Ponseti nonoperative approach to treating talipes is the most important factor in reducing the rates of surgery and therefore the complications that may ensue.
在世界上许多医疗机构中，马蹄内翻足（TEV）的传统治疗方法一直是开放手术。一期矫正手术的并发症发生率相对较低，但可能会对治疗效果产生重大影响。复发性马蹄内翻足手术的并发症比一期手术更为常见，而伤口愈合问题给主治外科医生带来了严峻挑战。本文概述了这种仍然具有挑战性的病症的治疗方法，并阐述了伤口愈合问题所涉及的因素以及预防和治疗这些问题的策略。特别是，庞塞蒂非手术治疗马蹄内翻足的方法虽然姗姗来迟，但在全球迅速传播，这是降低手术率以及由此可能产生的并发症的最重要因素。
