Porat S, Kaplan L
Department of Orthopaedic Surgery, Hadassah University Hospital, Jerusalem, Israel.
J Pediatr Orthop. 1989 Mar-Apr;9(2):137-43.
We have used the Norris Carroll approach to the surgical release of resistant club feet for the last 7 years. Critical analysis of 33 idiopathic club feet, after an average follow-up of 4 years, by clinical and radiological methods showed 82% satisfactory results and 18% unsatisfactory. The results indicated a trend toward limited plantar flexion in these feet, as well as mild supination that disappeared with walking. The advantage of the dual skin incision approach is easy access to both plantar medial and posterolateral structures. The calcaneocuboid joint is released and emphasis is put on release of the lateral tether.
在过去7年里，我们采用诺里斯·卡罗尔方法对外翻性马蹄足进行手术松解。通过临床和放射学方法，对33例特发性马蹄足进行了平均4年的随访，并进行批判性分析，结果显示82%的结果令人满意，18%的结果不理想。结果表明，这些足部存在跖屈受限的趋势，以及行走时消失的轻度内旋。双皮肤切口方法的优点是便于同时处理足底内侧和后外侧结构。跟骰关节被松解，重点是松解外侧束带。
