Gamble J G, Decker S, Abrams R C
Clin Orthop Relat Res. 1982 Apr(164):241-4.
Multiple metatarsal osteotomy was performed in 50 children and found to be a reliable procedure for treatment of metatarsus adductus in a child. As a prerequisite to the operation, the epiphysis of the first ray should be ossified. During the operation, the epiphyseal plate must be identified and avoided. After the correction, displacement of the bony fragments may be prevented by wire fixation. The consequences of failure to observe these rules were noted in a patient who was observed for 13 years; despite premature arrest of the physis resulting in 2.5 cm shortening of the first ray, he is asymptomatic and gainfully employed; his foot is testimony to Harris and Beath's concept of the dynamic adaptability of the human foot.
对50名儿童实施了多根跖骨截骨术，结果发现该手术是治疗儿童内收足的可靠方法。作为手术的前提条件，第一跖骨的骨骺应已骨化。手术过程中，必须识别并避开骨骺板。矫正后，可用钢丝固定防止骨碎片移位。一名随访13年的患者出现了未遵守这些规则的后果；尽管骨骺过早闭合导致第一跖骨缩短2.5厘米，但他没有症状且有一份收入不错的工作；他的足部证明了哈里斯和比思关于人类足部动态适应性的观点。
