Carroll N C, McMurtry R, Leete S F
Orthop Clin North Am. 1978 Jan;9(1):225-32.
Patients with resistant clubfeet were reviewed in their second and third decades. For comparison, normal embryological and fetal feet, untreated clubfeet, a recurrent clubfoot, and an amputated foot were dissected. In no child with a resistant clubfoot was the bone architecture normal. In untreated and recurrent clubfeet we found the lateral malleolus to be directed posteriorly, the head of the talus pointed laterally, and the navicular subluxated medially toward the medial malleolus. An operative technique to restore normal alignment of the talus in the ankle mortice, of the navicular and talus, and of the talus and os calcis is described.
对患有顽固性马蹄内翻足的患者进行了二三十岁时的复查。为作比较，解剖了正常胚胎和胎儿的足部、未经治疗的马蹄内翻足、复发性马蹄内翻足以及截肢足。在患有顽固性马蹄内翻足的儿童中，没有一例骨骼结构是正常的。在未经治疗的和复发性马蹄内翻足中，我们发现外踝向后，距骨头指向外侧，舟骨向内侧半脱位靠近内踝。本文描述了一种手术技术，用于恢复距骨在踝关节窝内、舟骨与距骨之间以及距骨与跟骨之间的正常对线。
