Fridman Marcos William, de Almeida Fialho Henrique Sodré
Orthopaedics, São Lucas Hospital, São Manoel 315/302, Porto Alegre, RS 90620-110, Brazil.
Skeletal Radiol. 2007 Feb;36(2):129-38. doi: 10.1007/s00256-006-0204-3. Epub 2006 Oct 18.
A series of 50 patients with 71 clubfeet treated surgically was evaluated after exclusion of individuals with associated malformations, syndromes, neurological disorders, previous surgery and age over 30 months at the time of the surgical procedure. They underwent soft-tissue releases that addressed all the components of the deformity, including, when necessary, the calcaneocuboid joint. The age of the patients at the time of the surgery ranged from 6 to 26 months and the mean follow-up period was 77.03 months. The scores resulting from the application of the functional rating system designed by Laaveg and Ponseti were compared with several radiological parameters described in the medical literature to verify the degree of statistical association between these variables. The talo-first metatarsal angle, the calcaneal-second and fifth metatarsal angles were the only radiological measurements that correlated well with the functional score.
对一系列50例接受手术治疗的71只马蹄内翻足患者进行了评估，排除了伴有相关畸形、综合征、神经系统疾病、既往手术史以及手术时年龄超过30个月的个体。他们接受了软组织松解术，该手术解决了畸形的所有组成部分，必要时包括跟骰关节。手术时患者的年龄在6至26个月之间，平均随访期为77.03个月。将Laaveg和Ponseti设计的功能评分系统应用所得的分数与医学文献中描述的几个放射学参数进行比较，以验证这些变量之间的统计关联程度。距骨-第一跖骨角、跟骨-第二和第五跖骨角是仅与功能评分相关性良好的放射学测量指标。
