Machida Jiro, Kameshita Kikuo, Okuzumi Shigeharu, Nakamura Naoyuki
Department of Orthopaedics, Kanagawa Childrens Medical Center, Yokohama, Japan.
J Pediatr Orthop B. 2014 May;23(3):254-9. doi: 10.1097/BPB.0000000000000031.
We retrospectively reviewed 57 patients with 84 idiopathic clubfeet and followed them up for at least 15 years. All feet were rated as good or excellent according to the International Clubfoot Study Group score. Stress radiographs showed that the arc of forefoot motion of conservatively treated feet was 81%, in operated feet of patients aged more than 1 year it was 74%, and in feet of patients aged less than 1 year during surgery it was 65%, compared with those in contralateral normal feet. Despite the severity of the deformity, feet treated by our posteromedial release without talocalcaneal joint release were flexible and functional.
我们回顾性分析了57例患有84只特发性马蹄内翻足的患者，并对他们进行了至少15年的随访。根据国际马蹄内翻足研究组评分，所有患足均评定为良好或优秀。应力位X线片显示，保守治疗患足的前足活动弧度为81%，1岁以上接受手术治疗患足的前足活动弧度为74%，手术时年龄小于1岁患者患足的前足活动弧度为65%，以上均与对侧正常足相比。尽管畸形严重，但我们采用不松解距跟关节的后内侧松解术治疗的患足仍具有灵活性和功能性。
