Trumble T, Banta J V, Raycroft J F, Curtis B H
J Bone Joint Surg Am. 1985 Jan;67(1):21-9.
Nine patients with myelomeningocele (seventeen involved feet) had talectomy for the correction of equinovarus deformity. The age at surgery ranged from one year and eight months to seven years and four months old. The length of follow-up averaged seven years and four months and ranged from twenty-two months to twelve years. Fifteen feet had a good and two had a poor correction of the deformity of the hind part of the foot, the result being directly related to the intraoperative correction of the equinus deformity. The correction of the fore part of the foot was rated as good in eight, fair in one, and poor in eight feet. Residual deformity of the fore part of the foot compromised the functional result in six feet that had an acceptable correction of the deformity of the hind part.
9例患有脊髓脊膜膨出症(累及17只脚)的患者接受了距骨切除术以矫正马蹄内翻畸形。手术时的年龄为1岁8个月至7岁4个月。平均随访时间为7年4个月,范围从22个月至12年。15只脚的足部后部畸形矫正效果良好,2只脚效果不佳,结果与术中马蹄畸形的矫正直接相关。足部前部的矫正效果评定为:8只脚良好,1只脚一般,8只脚差。足部前部的残余畸形影响了6只足部后部畸形矫正效果尚可的脚的功能结果。