Napiontek M, Jóźwiak M
Kliniki Ortopedii Dzieciecej Instytutu Ortopedii i Rehabilitacji AM, Poznaniu.
Chir Narzadow Ruchu Ortop Pol. 1994;59(5):461-70.
Thirty feet in 18 children diagnosed as skew foot (Z-foot, serpentine foot) have been assessed. Following types of deformity have been distinguished: 1. idiopathic congenital (21 feet), 2. congenital, associated with other defects or systemic disease (8 feet), 3. acquired (iatrogenic) after manipulations for club foot treatment (1 foot) and 4. neurogenic, not represented in this study. In the first group minor forefoot adduction that remained after cast treatment was generally accepted by the parents; 7 feet required surgical release. Eight feet were corrected operatively in group 2. In most of the cases palliative procedures were performed due to late turning for surgery of children with systemic disease. In case of type 3 deformity termination of manipulations spontaneously led to the restoration of anatomy in the Chopart joint. According to the authors, surgery, preferably in the first year of life, offers full possibility to regain anatomy and shape of the foot.
对18名被诊断为畸形足（Z形足、蛇形足）的儿童的30只脚进行了评估。区分出以下几种畸形类型：1. 特发性先天性（21只脚），2. 先天性，与其他缺陷或全身性疾病相关（8只脚），3. 马蹄内翻足治疗手法操作后获得性（医源性）（1只脚），4. 神经源性，本研究未涉及。在第一组中，石膏治疗后残留的轻度前足内收通常被家长接受；7只脚需要手术松解。第二组中有8只脚进行了手术矫正。在大多数情况下，由于患有全身性疾病的儿童手术转诊较晚，所以采取了姑息性手术。对于3型畸形，手法操作的终止自发地导致了距跟舟关节解剖结构的恢复。据作者称，手术，最好在生命的第一年进行，有充分的可能性恢复足部的解剖结构和形状。
