Westin G W, Dingeman R D, Gausewitz S H
Shriners Hospital, Los Angeles, California 90007.
J Bone Joint Surg Am. 1988 Mar;70(3):320-8.
Sixty-six consecutive tenodeses of the tendo achillis to the fibula were done in sixty patients who had paralytic pes calcaneus. The patients were followed for an average of 5.7 years (range, two to 10.8 years). The preoperative disturbance of gait was eliminated in all of the patients, and radiographic improvement was noted in the feet that had been operated on. Sixteen feet (23 per cent) required revision of the tenodesis because equinus deformity had developed. The development of equinus deformity was found to occur more often in patients who had the procedure at a younger age and in patients in whom the calcaneotibial angle measured more than 70 degrees at the time of the tenodesis. Residual cavovarus deformity was successfully treated by a plantar release.
对60例患有麻痹性跟骨足的患者进行了66次跟腱至腓骨的连续腱固定术。患者平均随访5.7年（范围为2至10.8年）。所有患者术前的步态障碍均被消除，且手术侧足部在影像学上有改善。16只脚（23%）因发生马蹄足畸形而需要对腱固定术进行翻修。发现马蹄足畸形更常发生在年轻时接受该手术的患者以及腱固定术时跟骨胫骨角测量超过70度的患者中。残留的高弓内翻畸形通过足底松解术得到成功治疗。
