Turco V J
J Bone Joint Surg Am. 1979 Sep;61(6A):805-14.
I have reviewed my personal experience with 240 resistant congenital club feet (176 patients) treated surgically by one-stage posteromedial release with internal fixation. The end results in the 149 feet that had a follow-up of two to fifteen years were: excellent or good, 83.8 per cent; fair, 10.7 per cent; and failures, 5.3 per cent. The best results with the least complications were in children who were operated on between the ages of one and two years. A statistical analysis of fifty-three feet with a follow-up of less than two years is reported for comparison with the results after longer follow-up to allow analysis of all the known failures and complications that have been encountered with the operation. Possible causes and prevention of fair and poor results are discussed. Modifications of the technique, which originally was reported in 1971, are described.
我回顾了本人对240例先天性马蹄内翻足（176例患者）采用一期后内侧松解加内固定手术治疗的个人经验。对其中149例足部进行了2至15年的随访，最终结果为：优或良，占83.8%；尚可，占10.7%；失败，占5.3%。一岁至两岁接受手术的儿童取得了最佳效果且并发症最少。报告了对53例随访时间不足两年的足部进行的统计分析，以便与更长随访期后的结果进行比较，从而分析该手术所遇到的所有已知失败病例和并发症。讨论了结果尚可及不佳的可能原因和预防措施。描述了对最初于1971年报道的手术技术所做的改进。
