Nesse E, Terjesen T, Rønningen H
Ortopedisk avdeling, Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1996 Aug 10;116(18):2165-8.
48 patients (70 club-feet) were reviewed clinically between the age of 4 and 14 years. The primary treatment had been serial plaster casts in the case of 43 feet and additional neonatal tenotomies in 27 feet. Operative treatment after the neonatal period was performed on 53 feet (75%) at a median age of ten months (2-60 months). Surgical procedures were posterior release in 29 and postero-medial release in 24 feet. Further surgery was required in the case of 18 feet. Satisfactory results (excellent and good) were obtained for 42 feet (60%), but fair results for 17 feet (24%) and poor results for 11 feet (16%). The results were significantly better when the release operation was performed before the patient was 2 years of age.
对48例患者(70只畸形足)进行了临床复查,年龄在4至14岁之间。43只足的初始治疗采用了系列石膏固定,27只足还进行了额外的新生儿跟腱切断术。新生儿期后的手术治疗在53只足(75%)上进行,中位年龄为10个月(2至60个月)。手术方式为29只足行后路松解,24只足行后内侧松解。18只足需要进一步手术。42只足(60%)获得了满意的结果(优和良),17只足(24%)结果一般,11只足(16%)结果较差。当在患者2岁之前进行松解手术时,结果明显更好。