Atar D, Lehman W B, Grant A D
Orthopedic Department, Ben-Gurion University Hospital, Beer-Sheva, Israel.
Orthop Rev. 1993 Sep;22(9):1015-6.
Two groups of patients who underwent soft-tissue release of clubfoot are compared. In group I, internal fixation (two Kirschner wires) was used for 6 weeks to retain correction of clubfoot. In group II, no internal fixation was used. Patients from the two groups were operated on by one surgeon using the same procedure. Because there was no statistically significant difference in functional result between the two treatment groups (P = .08; Mann-Whitney Test), the authors recommend avoiding internal fixation (with all the associated problems) in cases of uncomplicated clubfoot, and encourage early removal of the cast and frequent manipulations to prevent stiffness of the joints and reduce the recurrence rate.
对两组接受马蹄内翻足软组织松解术的患者进行了比较。第一组使用内固定（两根克氏针）6周以维持马蹄内翻足的矫正。第二组未使用内固定。两组患者均由同一位外科医生采用相同的手术方法进行手术。由于两个治疗组之间的功能结果无统计学显著差异（P = 0.08；曼-惠特尼检验），作者建议在单纯马蹄内翻足病例中避免使用内固定（以及所有相关问题），并鼓励早期拆除石膏并频繁进行手法操作，以防止关节僵硬并降低复发率。
