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先天性马蹄内翻足。病因、病理解剖、发病机制以及早期治疗的变化趋势

Congenital clubfoot. Etiology, pathoanatomy, pathogenesis, and the changing spectrum of early management.

作者信息

Drvaric D M, Kuivila T E, Roberts J M

机构信息

Department of Orthopaedics, Brown University Program in Medicine, Providence, Rhode Island.

出版信息

Orthop Clin North Am. 1989 Oct;20(4):641-7.

PMID:2677897
Abstract

Congenital clubfoot is a common problem of uncertain etiology with a broad spectrum of clinical severity. Much remains controversial and unsolved about this disorder. It is agreed, however, that early management should be conservative and that operative management should comprehensively address the deformities, to avoid if possible, subsequent operations. No single monograph can comprehensively review all aspects of this complex disorder. Our intent has been to touch upon the basic concepts and philosophies, to give perspective to the overall picture, for some, and to provide a stimulus and basis for further investigation and review for others.

摘要

先天性马蹄内翻足是一种病因不明的常见问题,临床严重程度范围广泛。关于这种疾病,仍有许多争议和未解决的问题。然而,人们一致认为,早期治疗应采取保守方法,手术治疗应全面解决畸形问题,尽可能避免后续手术。没有哪一本专著能够全面综述这种复杂疾病的所有方面。我们的目的是触及基本概念和理念,为一些人勾勒整体情况,为另一些人提供进一步研究和综述的动力及基础。

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