Dias L S, Stern L S
J Pediatr Orthop. 1987 Jan-Feb;7(1):39-41. doi: 10.1097/01241398-198701000-00008.
Eighteen patients (28 feet) with spina bifida and arthrogryposis had talectomy for correction of severe equinovarus deformity. In 26 feet, posteromedial release had been performed previously. The average age at surgery was 4 1/2 years, with a range of 1-9 years of age. The length of follow-up averaged 4 years and ranged from 12 months to 8 years. Twenty-three feet were rated good, and five were poor. Six feet, because of forefoot adduction, required further surgery (metatarsal osteotomy). Talectomy is an effective procedure for correction of hindfoot deformity. Forefoot problems must be treated as a separate entity.
18例患有脊柱裂和关节挛缩症的患者（28足）接受了距骨切除术，以矫正严重的马蹄内翻畸形。其中26足此前已进行过后内侧松解术。手术的平均年龄为4.5岁，年龄范围为1至9岁。随访时间平均为4年，范围为12个月至8年。23足评定为良好，5足评定为差。6足因前足内收需要进一步手术（跖骨截骨术）。距骨切除术是矫正后足畸形的有效方法。前足问题必须作为一个单独的问题来处理。
