Zuccon Alexandre, Cardoso Sérgio Inácio Cristiano, Abreu Fábio Peluzo, Fernandes Antonio Carlos
Associação de Assistência à Criança Deficiente (AACD), São Paulo, SP, Brazil.
Rev Bras Ortop. 2014 Oct 22;49(6):653-60. doi: 10.1016/j.rboe.2014.10.006. eCollection 2014 Nov-Dec.
To analyze the results from surgical treatment of 69 cases of clubfoot in 43 patients with myelodysplasia according to clinical and radiographic criteria, at our institution between 1984 and 2004.
This was a retrospective study involving analysis of medical files, radiographs and consultations relating to patients who underwent surgical correction of clubfoot. The surgical technique consisted of radical posteromedial and lateral release with or without associated talectomy.
The patients' mean age at the time of the surgery was four years and two months, and the mean length of postoperative follow-up was seven years and two months. Satisfactory results were achieved in 73.9% of the feet and unsatisfactory results in 26.1% (p < 0.0001).
Residual deformity in the immediate postoperative period was associated with unsatisfactory results. Opening of the Kite (talocalcaneal) angle in feet that only underwent posteromedial and lateral release, along with appropriate positioning of the calcaneus in cases that underwent talectomy, was the radiographic parameter that correlated with satisfactory results.
根据临床和影像学标准，分析1984年至2004年间在我院接受手术治疗的43例脊髓发育不良患者中69例马蹄内翻足的手术治疗结果。
这是一项回顾性研究，涉及对接受马蹄内翻足手术矫正患者的病历、X光片和会诊资料进行分析。手术技术包括根治性后内侧和外侧松解，可伴或不伴距骨切除术。
患者手术时的平均年龄为4岁2个月，术后平均随访时间为7年2个月。73.9%的足部获得满意结果，26.1%结果不满意（p < 0.0001）。
术后即刻残留畸形与结果不满意相关。仅接受后内侧和外侧松解的足部的Kite（距跟）角开口，以及接受距骨切除术病例中跟骨的适当定位，是与满意结果相关的影像学参数。
