Kling T F, Kaufer H, Hensinger R N
J Bone Joint Surg Am. 1985 Feb;67(2):186-94.
In the treatment of equinovarus deformity of the foot in children with cerebral spastic paralysis, to supplement heel-cord lengthening, we split the posterior tibial tendon and transferred its posterior half laterally into the peroneus brevis tendon. Thirty-seven operations were performed on thirty-one hemiplegic, quadriplegic, and diplegic children who were followed for a mean of eight years postoperatively (range, four to fourteen years), at which time twenty-six of the thirty-one children were skeletally mature. There were thirty excellent, four good, and three poor results. The results did not deteriorate with time. Thirty-two of thirty-four children with good or excellent results had functioning dorsiflexors of the foot and were brace-free postoperatively. The children who had a poor result had recurrent deformity, but none had development of a calcaneal or calcaneovalgus deformity.
在治疗脑性痉挛性瘫痪患儿的马蹄内翻足畸形时，为补充跟腱延长术，我们将胫后肌腱劈开，并将其后半部分向外侧转移至腓骨短肌腱。对31例偏瘫、四肢瘫和双瘫患儿进行了37次手术，术后平均随访8年（范围4至14年），此时31例患儿中有26例骨骼成熟。结果为优30例、良4例、差3例。结果并未随时间恶化。34例结果为优或良的患儿中有32例足部背屈功能良好，术后无需支具。结果差的患儿出现了复发性畸形，但均未发展为跟骨或跟骨外翻畸形。
