Sherman F C, Westin G W
J Bone Joint Surg Am. 1981 Dec;63(9):1382-9.
One hundred and ninety-one feet with residual cavovarus deformities from club foot or poliomyelitis were treated by a plantar release followed by correction with serial cast application. Roentgenographically, there was significant improvement in the adduction of the fore part of the foot and the cavus deformity, but the varus angulation of the hind part of the foot did not improve. In children more than six years old with deformities resulting from club foot, the plantar release was particularly effective in alleviating residual cavus deformity. In cavus deformity resulting from poliomyelitis, preliminary data indicate a positive effect in feet with pure cavus deformity and cavus deformity associated with equinus angulation of the hind part of the foot, while the results in feet with a cavus deformity and associated calcaneal deformity of the hind part of the foot typically were unsatisfactory.
对191例因马蹄内翻足或小儿麻痹症导致残留高弓内翻畸形的患者进行了足底松解术,随后通过连续应用石膏进行矫正。X线片显示,足前部的内收和高弓畸形有显著改善,但足后部的内翻角度没有改善。在6岁以上因马蹄内翻足导致畸形的儿童中,足底松解术在减轻残留高弓畸形方面特别有效。在小儿麻痹症导致的高弓畸形中,初步数据表明,对于单纯高弓畸形以及伴有足后部马蹄畸形的高弓畸形足部有积极效果,而对于伴有足后部跟骨畸形的高弓畸形足部,结果通常不尽人意。