Synder M, Kumar S J, Stecyk M D
Alfred I. duPont Institute, Wilmington, DE 19899.
J Pediatr Orthop. 1993 Jan-Feb;13(1):20-3.
Twenty-one patients with a minimum follow-up of 2 years who underwent combined split tibialis posterior tendon transfer and tendo-Achilles lengthening for equinovarus foot deformities were evaluated. The results in 15 of 18 ambulatory patients were graded as excellent or good; patients had marked improvement of their equinovarus foot deformity in both stance and swing phases of gait and became brace-free postoperatively. All non-ambulatory patients had a plantigrade foot. The complication rate was low, and patient satisfaction with the procedure was very high. In three patients, however, the procedure failed because of technical errors. We address the causes of failure and methods to avoid these errors. Preoperative computerized gait analysis does not appear to be essential in achieving a good result.
对21例接受胫后肌腱劈开转移联合跟腱延长术治疗马蹄内翻足畸形且随访至少2年的患者进行了评估。18例可步行患者中有15例结果评为优或良；患者在步态的站立期和摆动期马蹄内翻足畸形均有明显改善，术后无需支具。所有不能行走的患者均有扁平足。并发症发生率低，患者对该手术的满意度非常高。然而，有3例患者因技术失误手术失败。我们探讨了失败原因及避免这些失误的方法。术前计算机步态分析对于取得良好效果似乎并非必不可少。
