Main B J, Crider R J
J Bone Joint Surg Br. 1978 Nov;60-B(4):536-43. doi: 10.1302/0301-620X.60B4.711805.
The contributions made by metatarsus primus varus, medial subluxation of the navicular, and angulation of the neck of the talus to the residual deformity in treated club feet were assessed from radiographs. Their relation to the appearance of the feet, to the age of the patient, to the results of operations, and to the age at the time of the first operation were investigated. Lateral rotation of the ankle and flattening of the talus were also studied. Medial subluxation of the navicular was found to be the most important factor influencing both the appearance of the feet and the lateral rotation of the ankle. Relocation of the talonavicular joint correlated with the success of operative treatment; and the timing of the primary operation determined the degree of relocation which could be achieved. Metatarsus primus varus and angulation of the talus were of little importance. Increased emphasis is given to the need for early relocation of the talonavicular joint.
通过X线片评估了第一跖骨内翻、舟骨内侧半脱位和距骨颈成角对治疗后的马蹄足残留畸形的影响。研究了它们与足部外观、患者年龄、手术结果以及首次手术时年龄的关系。还研究了踝关节的外侧旋转和距骨扁平情况。发现舟骨内侧半脱位是影响足部外观和踝关节外侧旋转的最重要因素。距舟关节复位与手术治疗的成功相关；初次手术的时机决定了可实现的复位程度。第一跖骨内翻和距骨成角不太重要。更加强调早期复位距舟关节的必要性。
