Kircher E, Biehl T
Fortschr Med. 1978 Oct 19;96(39):1965-70.
The congenital clubfoot of infancy to-day is curable in 90% of cases. Aim of the treatment is normalization of form, function and growth. With combined therapy according to Imhäuser optimal results are possible: 1. Immediately after birth--depending on the general condition of the newborn--reposition of all components without the talipes equinus component; plastercasts are changed frequently till the third or fourth month of life; 2. surgical development of the heel; calcaneal equinus is corrected by elongating the tendocalcaneus combined with arthrolysis of the ankle joint; 3. intensive clinical treatment by physiotherapy; 4. ambulant orthopedic controls at regular intervals till the end of skeletal growth.
如今，婴儿先天性马蹄内翻足90%的病例是可治愈的。治疗的目的是使形态、功能和生长恢复正常。采用依姆豪泽联合疗法可取得最佳效果：1. 出生后立即——根据新生儿的一般状况——对除马蹄足外的所有畸形部位进行复位；频繁更换石膏直至出生后第三个或第四个月；2. 足跟的手术矫形；通过延长跟腱并结合踝关节松解术矫正马蹄跟足；3. 通过物理疗法进行强化临床治疗；4. 定期进行门诊骨科检查直至骨骼生长结束。
