Johnson G R, Han P, Giacopelli J A
Fountain Valley Regional Hospital and Medical Center, CA, USA.
J Am Podiatr Med Assoc. 1995 Apr;85(4):189-97. doi: 10.7547/87507315-85-4-189.
The authors provide a review of the principles of talectomy as a surgical treatment option for severe, rigid, and resistant clubfoot deformities. Such deformities are associated with a high recurrence rate and frequently involve a large number of surgical interventions to attain a satisfactory result. Talectomy has been successfully used as both a primary and salvage procedure to treat such deformities, often eliminating the need for subsequent surgeries. A discussion of the operative technique, indications, advantages, and common complications associated with the procedure is presented. In addition, a case report of talectomy used to treat a severe, bilateral clubfoot deformity in a 4-year-old boy is included.
作者对距骨切除术的原则进行了综述，距骨切除术是治疗严重、僵硬和难治性马蹄内翻足畸形的一种手术治疗选择。此类畸形复发率高，常常需要大量手术干预才能获得满意结果。距骨切除术已成功用作治疗此类畸形的初次手术和挽救手术，常常无需后续手术。文中介绍了该手术的操作技术、适应证、优点及常见并发症。此外，还纳入了一例使用距骨切除术治疗一名4岁男孩严重双侧马蹄内翻足畸形的病例报告。
