Porat S, Milgrom C, Bentley G
J Pediatr Orthop. 1984 May;4(3):331-8. doi: 10.1097/01241398-198405000-00009.
The results of treatment in 77 clubfeet were assessed after an average follow-up of 8 years. In those patients with surgical treatment it was found that the Turco posteromedial release within the first 3 months of life resulted in 13 of 16 satisfactory feet. In comparison, only five of 21 feet had satisfactory results when the average age of operation was delayed to 3.7 years and a less extensive release performed. At follow-up, abnormal radiological findings were not found in the early operated cases. The average talocalcaneal index was 47 degrees. The late operated feet showed major abnormal X-ray film findings, and their average index was 38 degrees. Good functional results, however, often coexisted with abnormal radiological findings in the midfoot. Abnormal findings of the hindfoot were always associated with unsatisfactory results. We conclude that the use of early (3 months) Turco posteromedial release can offer excellent results in treating severe resistant clubfeet.
对77例马蹄内翻足患者进行了平均8年的随访，评估治疗结果。在接受手术治疗的患者中，发现出生后3个月内进行Turco后内侧松解术，16只足中有13只效果满意。相比之下，当平均手术年龄推迟到3.7岁且松解范围较小时，21只足中只有5只效果满意。随访时，早期手术的病例未发现异常放射学表现。平均距跟指数为47度。晚期手术的足显示出主要的X线片异常表现，其平均指数为38度。然而，良好的功能结果常常与中足的异常放射学表现同时存在。后足的异常表现总是与不满意的结果相关。我们得出结论，早期（3个月）进行Turco后内侧松解术在治疗重度难治性马蹄内翻足方面可取得优异效果。
