Adelaar R S, Kyles M K
Foot Ankle. 1981 Nov;2(3):126-37. doi: 10.1177/107110078100200302.
The preliminary results of a comprehensive talipes equinovarus release on 16 patients with 20 idiopathic clubfoot deformities were analyzed with an 18-month follow-up. Our conclusions were that each component of the clubfoot can be managed in a single stage operative procedure without any significant risk to the patient; bilateral surgery could be done at the same sitting; and dorsiflexion was difficult to achieve because of the anatomical deformity of the talus and resistant anterior capsule. Fixation after comprehensive release with Kirschner wires is important in maintaining the reduction, and no patient had a return of the deformity after satisfactory correction at the time of surgery. The complications were excessive hindfoot valgus, loss of the longitudinal arch by excessive midfoot release and casts, and forefoot valgus from complete transfer of the anterior tibial.
对16例患有20例特发性马蹄内翻足畸形患者进行全面马蹄内翻足松解术的初步结果进行了分析，并进行了18个月的随访。我们的结论是，马蹄内翻足的每个组成部分都可以在单一阶段的手术过程中进行处理，对患者没有任何重大风险；双侧手术可以在同一次手术中完成；由于距骨的解剖畸形和坚韧的前囊，很难实现背屈。用克氏针进行全面松解后的固定对于维持复位很重要，并且在手术时满意矫正后没有患者出现畸形复发。并发症包括后足外翻过度、中足过度松解和石膏导致纵弓丧失，以及胫前肌完全转移导致的前足外翻。
