Karski T, Wośko I
Orthopaedic University Children's Clinic, Lublin, Poland.
J Pediatr Orthop. 1989 Mar-Apr;9(2):134-6.
We studied 323 children with congenital clubfoot from 1970 to 1987. The principles of conservative treatment of congenital clubfoot in newborns have completely changed since 1973. The present principles we follow are to begin treatment immediately after birth; and adduction and varus removal by manipulation. In each case, we use a plaster cast, which is changed after a few days as long as the foot is limp and well corrigible. The knee is immobilized at 60 to 70 degrees in a plaster cast. During the manipulations, the surgeon's hand presses only the plantar side of the foot. The results can be described as good, since in each child we have removed adduction and varus as operation by posterior release and Achilles lengthening was necessary in only 50% of the children.
我们对1970年至1987年间的323例先天性马蹄内翻足患儿进行了研究。自1973年以来，新生儿先天性马蹄内翻足保守治疗的原则已完全改变。我们目前遵循的原则是出生后立即开始治疗；通过手法矫正内收和内翻。在每种情况下，我们都使用石膏绷带，只要足部柔软且易于矫正，几天后就更换石膏。膝关节在石膏中固定于60至70度。在手法操作过程中，外科医生的手只按压足部的足底侧。结果可以说是良好的，因为在每个患儿中我们都矫正了内收和内翻，只有50%的患儿需要通过后路松解和跟腱延长术进行手术。
