Atar D, Lehman W B, Grant A D
Ben-Gurion University Hospital, Beer-Sheva, Israel.
Orthop Rev. 1991 Mar;20(3):233-9.
Thirty percent to 50% of clubfeet will not respond to conservative treatment and will require surgery. The average failure rate in clubfoot surgery is 25% (range, 13% to 50%). Many complications can occur during surgery and postoperatively. Preoperative planning of the appropriate skin incision and special attention to wound closure may prevent some of these complications. Awareness of the multiple complications that can occur such as cavus, persistent adductus, overcorrection of the hindfoot, and recurrent deformity allows the surgeon to prepare and plan for these often unavoidable problems.
30%至50%的马蹄内翻足患者对保守治疗无反应，需要进行手术。马蹄内翻足手术的平均失败率为25%（范围为13%至50%）。手术期间及术后可能会出现许多并发症。术前规划合适的皮肤切口并特别注意伤口闭合可预防其中一些并发症。了解可能出现的多种并发症，如高弓足、持续性内收、后足过度矫正和复发性畸形，可使外科医生为这些往往不可避免的问题做好准备并进行规划。
