de Waal Malefijt M C, Bos J C, Keessen W
Afd. Orthopedie, Wilhelmina Kinderziekenhuis, Utrecht.
Tijdschr Kindergeneeskd. 1988 Dec;56(6):292-7.
From 1979-1985 seventeen children with twenty-six club-feet were treated. Thirty-four operations have been carried out, divided in three surgical procedures. The heel cord was lengthened in eight feet, a posterior release was done in thirteen feet and a posteromedial release according to Turco was done thirteen times as well. Lengthening of the heel cord seemed to be an insufficient procedure, because six out of eight feet showed a recurrent deformity. The posterior release has given in half of the cases a good result. After posteromedial release we saw in 70% a good or excellent result, when this procedure has been performed between the age of six to twelve months.
1979年至1985年期间,对17名患有26只畸形足的儿童进行了治疗。共进行了34次手术,分为三种外科手术方式。对8只足进行了跟腱延长术,13只足进行了后路松解术,同时按照Turco术式进行了13次后内侧松解术。跟腱延长术似乎效果不佳,因为8只足中有6只出现了畸形复发。后路松解术在半数病例中取得了良好效果。当在6至12个月龄之间进行后内侧松解术时,我们发现70%的病例效果良好或极佳。