McKay D W
J Pediatr Orthop. 1983 May;3(2):141-8. doi: 10.1097/01241398-198305000-00001.
This final section on the new concept of and approach to treatment of clubfoot is the evaluation of 102 clubfeet treated over a 6-year period. Fifty-five unoperated feet received the surgical procedure described in Section II based on principles described in Section I. An attempt is made to evaluate the validity of correction of horizontal subtalar rotation, early ankle motion, recession of flexor tendon sheath on ankle motion and flexor hallucis longus function, early surgery, and release of the interosseous ligament. The results indicate that correction of horizontal subtalar rotation is beneficial and results in marked improvement in ankle motion by flexor tendon sheath recession and early motion. Longer follow-up is needed to determine the proper age for surgery. A rating system is developed and suggested for routine follow-up and comparison.
关于马蹄内翻足治疗新概念及方法的最后一部分内容，是对6年期间治疗的102例马蹄内翻足的评估。55例未经手术治疗的足部接受了基于第一部分所述原则的第二部分中描述的手术操作。试图评估水平距下关节旋转矫正、早期踝关节活动、屈肌腱鞘退缩对踝关节活动及拇长屈肌功能的影响、早期手术以及骨间韧带松解的有效性。结果表明，水平距下关节旋转矫正有益，且通过屈肌腱鞘退缩和早期活动可使踝关节活动显著改善。需要更长时间的随访来确定合适的手术年龄。开发并建议采用一种评分系统用于常规随访和比较。
