Kránicz J, Barta O, Bellyei A
Magy Traumatol Orthop Helyreallito Seb. 1977;20(2):143-51.
The role and position of early complete operative procedures on the soft tissues in the treatment of the congenital club foot is discussed in the article. The authors report on the operative indications in principles and in their own practice. Closed and operative treatment are not contradictory but complementary terms. The aim of the operative treatment is to bring all residual contractures following conservative treatment to an end. It must be done by relatively minimal intervention on the soft tissues and as early as possible. Thus the proper development of the foot and the prevention of bone deformation can be attained.
本文讨论了早期彻底的软组织手术操作在先天性马蹄内翻足治疗中的作用和地位。作者报告了手术指征的原则及自身实践经验。闭合治疗和手术治疗并非相互矛盾,而是相辅相成的概念。手术治疗的目的是消除保守治疗后残留的所有挛缩。这必须通过对软组织进行相对微创的干预并尽早完成。这样才能实现足部的正常发育并预防骨骼变形。