Ganger Rudolf, Radler Christof, Handlbauer Albert, Grill Franz
Department for Pediatric Orthopaedics, Orthopaedic Hospital Speising-Vienna, Vienna, Austria.
J Pediatr Orthop B. 2012 Jan;21(1):52-8. doi: 10.1097/BPB.0b013e32834adba7.
The treatment of neglected or relapsed clubfoot is still a challenge. Extensive open surgeries may lead to postoperative scarring and various complications.Gradual distraction using circular fixators for treatment of these cases was described by many researchers in the last decades. Different techniques were used with and without open surgeries. Recently the Taylor Spatial Frame was described for clubfoot correction using the principles of the Ponseti technique. Results of treatment using different techniques are described in this review. External fixation with soft tissue distraction even without open surgery is an effective treatment for neglected or relapsed clubfoot.
治疗被忽视或复发性马蹄内翻足仍然是一项挑战。广泛的开放性手术可能会导致术后瘢痕形成和各种并发症。在过去几十年中，许多研究人员描述了使用环形固定器进行逐步牵引来治疗这些病例。采用了不同的技术，有的进行了开放性手术，有的则没有。最近，有人描述了使用Ponseti技术原理的泰勒空间框架来矫正马蹄内翻足。本综述介绍了使用不同技术的治疗结果。即使不进行开放性手术，通过软组织牵引进行外固定也是治疗被忽视或复发性马蹄内翻足的一种有效方法。
