Lundberg B J
Clin Orthop Relat Res. 1981 Jan-Feb(154):223-7.
For clubfeet resistant to conservative treatment, an early soft-tissue release and reduction of talonavicular dislocation are recommended. To prevent the deforming influences towards varus of the often small inverted heel and make it reach the ground properly, a Dwyer osteotomy of the calcaneum is indicated. In a series of 22 patients this operation was performed on 29 clubfeet. The results at follow-up were satisfactory in all of the patients operated on before the age of 1 year, the youngest being 3 months. Young patients with a varus and small inverted heel respond very well.
对于保守治疗无效的马蹄内翻足，建议早期进行软组织松解并复位距舟关节脱位。为防止常出现的足跟小且内翻对内翻畸形的影响，并使其能正常着地，需行跟骨Dwyer截骨术。在一组22例患者中，对29只马蹄内翻足施行了该手术。所有1岁前接受手术的患者随访结果均令人满意，最年轻的患者为3个月。伴有内翻和足跟小且内翻的年轻患者反应良好。
