Dal Monte A, Manes E, Araoz S, Zajia A
Ital J Orthop Traumatol. 1983 Mar;9(1):25-38.
The authors report the results observed between 5 and 11 years after surgery in 100 cases of congenital clubfoot treated by posterior release and another 100 cases treated by combined posterior and medial release. On the basis of their experience, they believe that: 1. Grade 1 clubfoot can be successfully treated conservatively; 2. Grade 2 and grade 3 clubfoot must always be treated by complete posterior and medial release; 3. The best age for surgical intervention is around the age of 3 months; 4. In the first three months of life, manipulation and plaster casts should be used to try to correct the deformity.
作者报告了100例采用后路松解术治疗的先天性马蹄内翻足患者以及另外100例采用后路与内侧联合松解术治疗的患者术后5至11年观察到的结果。基于他们的经验，他们认为：1. 1级马蹄内翻足可通过保守治疗成功治愈；2. 2级和3级马蹄内翻足必须始终采用完全后路与内侧松解术治疗；3. 手术干预的最佳年龄约为3个月；4. 在出生后的前三个月，应采用手法和石膏固定来尝试矫正畸形。
