Guidera K J, Drennan J C
Clin Orthop Relat Res. 1985 Apr(194):93-8.
When 51 patients with arthrogryposis multiplex congenita followed an average of 12 years were reviewed, talipes equinovarus was the most common foot and ankle deformity. The best results were obtained by talectomy. The majority of tendo Achillis lengthenings, posteromedial releases, and triple arthrodeses were unsuccessful and were associated with a high complication rate. Congenital convex pes valgus was the second most common deformity. Surgical treatment by open reduction generally resulted in unsuccessful outcomes. Ambulation was achieved in 46 patients. Residual foot deformity was the primary reason for persistent difficulties in walking.
对51例平均随访12年的先天性多发性关节挛缩症患者进行回顾性研究时发现，马蹄内翻足是最常见的足踝部畸形。距骨切除术取得了最佳效果。大多数跟腱延长术、后内侧松解术和三关节融合术均未成功，且并发症发生率很高。先天性凸形扁平足是第二常见的畸形。切开复位的手术治疗通常效果不佳。46例患者实现了行走。残留的足部畸形是行走持续困难的主要原因。
