Vizkelety T, Szepesi K
Department of Orthopaedics, Semmelweis University, Budapest, Hungary.
J Pediatr Orthop. 1989 Mar-Apr;9(2):144-7.
We evaluated 118 operations (including 57 reoperations) on clubfeet. We concluded that relapse is most often the consequence of insufficient primary surgery, and the less sufficient the intervention, the more severe the relapse or residual deformity. The severity of deformity is determined and shown, first of all, by the position of calcaneum. In milder cases, soft tissue operation can prove useful, whereas more severe cases require bony intervention as well. The second, rarer cause of relapse was the fact that the foot was originally stiff and nonreducible. These feet may need multiple reoperations.
我们评估了118例马蹄内翻足手术（包括57例再次手术）。我们得出结论，复发通常是初次手术不充分的结果，干预越不充分，复发或残留畸形就越严重。畸形的严重程度首先由跟骨的位置决定并显示出来。在较轻的病例中，软组织手术可能有用，而较严重的病例则需要进行骨干预。复发的第二个较罕见的原因是足部最初僵硬且不可复位。这些足部可能需要多次再次手术。
