Lichtblau S
Clin Orthop Relat Res. 1978 Oct(136):225-9.
In a review of 16 feet in clubfoot patients who had external rotation osteotomies to correct internal tibial torsion, 13 had the undesired effect of aggravating and increasing the varus deformity of the foot. External rotation osteotomy to correct internal tibial torsion seems contraindicated in the presence of clubfoot. If an indication does exist, the chances of late adverse effects can be decreased by deferring surgery until the child is over the age of 8, or by combining the procedure with lengthening of the long flexor tendons.
在一项对16例马蹄内翻足患者行外旋截骨术以纠正胫骨内旋的回顾研究中，13例出现了加重并增加足部内翻畸形的不良效果。在马蹄内翻足存在的情况下，行外旋截骨术纠正胫骨内旋似乎是禁忌的。如果确实有手术指征，可通过将手术推迟至儿童8岁以上，或通过将该手术与长屈肌腱延长术相结合，来降低后期出现不良反应的几率。
