Lau J H, Meyer L C, Lau H C
Shriners Hospitals for Crippled Children, Greenville Unit, South Carolina.
Clin Orthop Relat Res. 1989 Nov(248):219-26.
A series of 153 feet in 103 patients were surgically treated for idiopathic clubfeet (mean follow-up period of 10.3 years). Thirty-four percent had prior surgery before referral to the authors' institution. Functional results were excellent in 28.7%, good in 37.9%, fair in 13.1%, and unsatisfactory in 20.3%. The complication rate was 7.4%. Serious complications included translocation of os calcis, avascular necrosis of the talus, and injuries to neurovascular structures. Pain after strenuous activities was noted in 11.3% of the feet. In 9.8% of feet, limitation of activities was noted by the patients. Translocation of the hindfoot was associated with extensive subtalar release and often resulted in poor function. At operation, extensive subtalar release should only be performed with caution after failure of correction from release of other medial and posterior structures.
对103例特发性马蹄内翻足患者进行了一系列手术治疗，手术长度达153英尺（平均随访期为10.3年）。34%的患者在转诊至作者所在机构之前曾接受过手术。功能结果优秀的占28.7%，良好的占37.9%，中等的占13.1%，不满意的占20.3%。并发症发生率为7.4%。严重并发症包括跟骨移位、距骨缺血性坏死以及神经血管结构损伤。11.3%的足部在剧烈活动后出现疼痛。9.8%的足部患者存在活动受限情况。后足移位与广泛的距下关节松解有关，常导致功能不佳。手术时，在其他内侧和后侧结构松解矫正失败后，才应谨慎进行广泛的距下关节松解。
