Bensahel Henri, Jehanno Pascal, Delaby Jean-Pierre, Themar-Noël Christine
Hospital Robert Débre, Paris, France.
Acta Orthop Traumatol Turc. 2006;40(2):181-6.
Despite the presence of a considerable number of papers published in the international literature, talipes equinovarus keeps its secrets. Conservative methods of treatment are currently accepted as advantageous over surgery. Prediction of the future of a clubfoot after treatment is not possible, for this reason, a long-term follow-up is needful. A true Functional Method based solely on gentle manipulations has been used for more than thirty years. Its aim is to correct the deformity and to allow the child to walk without delay. The principle of this method is to distract joint contractures prior to progressive correction of the deformity. No selection is made regarding the severity of the deformity and its etiology. Family plays an important role in performing routine manipulations at home. Concerning this Functional Method, three main series have been published by our team, with excellent-good results accounting for up to 77%. We believe that our Functional Method of conservative treatment of clubfoot is an appropriate way for correction of the deformity and its stabilization.
尽管国际文献中发表了大量相关论文，但马蹄内翻足仍有其奥秘。目前，保守治疗方法被认为比手术更具优势。由于无法预测治疗后马蹄内翻足的未来情况，因此需要长期随访。一种仅基于轻柔手法的真正功能性方法已使用了三十多年。其目的是矫正畸形并让孩子尽快行走。该方法的原则是在逐步矫正畸形之前牵开关节挛缩。对于畸形的严重程度及其病因不做选择。家庭在在家中进行日常手法操作方面起着重要作用。关于这种功能性方法，我们团队已发表了三个主要系列，优良率高达77%。我们认为，我们保守治疗马蹄内翻足的功能性方法是矫正畸形及其稳定的合适方法。
