Powell H D
Clin Orthop Relat Res. 1983 Jul-Aug(177):133-9.
Postural valgus hindfeet in children, so-called "flat feet" or floppy feet, are not new to orthopedics. A small number of these patients have significant symptoms requiring surgical treatment. Many patients are adequately controlled without operation by Rose-Swartz insoles worn during the growing period. In this series of 17 children and one adult with severe pes planovalgus, both parents and children testified to considerable and lasting functional improvement at examinations performed several years after surgery. The hindfoot shape as judged by shoe wear and on radiographs may not be vastly different before and after surgery; however, function is gained, and symptoms decrease markedly, justifying the surgical intervention.
儿童姿势性外翻后足，即所谓的“扁平足”或松软足，在骨科领域并不新鲜。这些患者中有一小部分有严重症状需要手术治疗。许多患者通过在生长发育期佩戴Rose-Swartz鞋垫，无需手术就能得到充分控制。在这组由17名儿童和1名重度扁平外翻足成人组成的病例中，父母和孩子都证实，在术后数年的检查中，功能有了显著且持久的改善。从鞋的磨损情况和X光片判断，手术前后后足形状可能没有太大差异；然而，功能得到了改善，症状明显减轻，这证明手术干预是合理的。
