Hutchins P M, Foster B K, Paterson D C, Cole E A
J Bone Joint Surg Br. 1985 Nov;67(5):791-9. doi: 10.1302/0301-620X.67B5.4055883.
One-hundred and seventy patients with 252 club feet treated by early posterior release were reviewed after a follow-up averaging 15 years 10 months. The feet were assessed both functionally and clinically and the results related to any bony deformity found radiographically; a satisfactory result was obtained in 81%. Lateral tibial torsion was examined and found to be less than in a normal population. The relationship between primary bone deformity and eventual functional result was examined, and a classification of talar dome deformity introduced. The range of ankle movement was a major factor in determining the functional result, and this in turn was influenced by the degree of talar dome flattening. It is suggested that the primary bone deformity present at birth dictates the eventual result of treatment.
对170例患有252只马蹄内翻足且接受早期后路松解术治疗的患者进行了平均15年10个月的随访。对足部进行了功能和临床评估，并将结果与影像学发现的任何骨骼畸形相关联；81%的患者获得了满意的结果。对胫骨外侧扭转进行了检查，发现其程度低于正常人群。研究了原发性骨骼畸形与最终功能结果之间的关系，并引入了距骨穹顶畸形的分类。踝关节活动范围是决定功能结果的主要因素，而这又受距骨穹顶扁平程度的影响。提示出生时存在的原发性骨骼畸形决定了治疗的最终结果。
