Zollinger H, Exner G U
Orthopädische Universitätsklinik Balgrist, Zürich.
Ther Umsch. 1995 Jul;52(7):449-53.
The spectrum of normal variations of children's feet is extremely broad and often difficult to separate from pathological conditions. Especially the flexible flatfoot normally disappears during growth, and even if it persists up to adult life, it hardly has any pathological significance. The natural course taken even by severe flexible flatfoot in children leads to results that are as good, if not even better than when surgery had been performed; therefore, more reticence with surgical treatment in such cases is advocated.
儿童足部正常变异的范围极为广泛,且常常难以与病理状况区分开来。尤其是柔韧性扁平足通常在生长过程中会消失,即便持续到成年期,也几乎没有任何病理意义。儿童严重柔韧性扁平足的自然发展进程所产生的结果,即便不比手术治疗的效果更好,至少也是一样好;因此,对于此类情况,主张在手术治疗上更加谨慎。