Klaue K, Damsin J P
Universitätsklinik für orthopädische Chirurgie, Inselspital, Bern.
Ther Umsch. 1991 Dec;48(12):784-8.
The operative treatment of congenital club foot deformity in childhood consists of a release of soft tissues which are retracted in fibrous "knots" at the hindfoot and midtarsus. This release is more or less extensive, depending on the importance of the contracture and allows reduction of the triple deformity i.e. varus and equinus of the hindfoot and adduction at the midtarsus. Surgery is performed preferably before walking commences in order to take advantage of the functional self-treatment by bearing weight after removal of the cast. During the last several years, the different operative procedures employed for release have gained in precision and efficiency by addressing the deformity at their precise location. The difficult aim of the surgical procedure is to avoid insufficient release causing pseudo-recurrencies or overcorrection.
儿童先天性马蹄内翻足畸形的手术治疗包括松解后足和中跗骨处纤维“结节”中挛缩的软组织。这种松解的范围或多或少有所不同，取决于挛缩的严重程度，并且能够矫正三关节畸形，即后足的内翻和马蹄畸形以及中跗骨的内收畸形。手术最好在开始行走之前进行，以便在拆除石膏后利用负重进行功能性自我治疗。在过去几年中，通过在精确位置处理畸形，用于松解的不同手术方法在精确性和效率方面都有所提高。手术的难点在于避免松解不足导致假性复发或过度矫正。
