Stark J G, Johanson J E, Winter R B
J Pediatr Orthop. 1987 May-Jun;7(3):305-10. doi: 10.1097/01241398-198705000-00012.
Forty-eight Heyman-Herndon tarsometatarsal capsulotomies were performed over an 18-year period for idiopathic metatarsus adductus and residual adductus of clubfoot. There was a 41% overall failure rate and a 50% incidence of painful dorsal prominence at the surgical scar. Sixty-eight percent of the patients had difficulty with proper shoe fitting. Those with associated orthopedic anomalies were at high risk for a poor result. We believe that tarsometatarsal capsulotomy is of questionable benefit in treatment of forefoot adduction deformities of children.
在18年期间，针对特发性内收足和马蹄内翻足残余内收，共进行了48例海曼-赫恩登跗跖关节囊切开术。总体失败率为41%，手术瘢痕处疼痛性背侧隆起的发生率为50%。68%的患者在选择合适鞋子方面存在困难。伴有骨科异常的患者预后不良风险较高。我们认为，跗跖关节囊切开术在治疗儿童前足内收畸形方面的益处值得怀疑。
