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New Concept of and Approach to Clubfoot TreatmentSection III—Evaluation and Results

 

作者: Douglas McKay,  

 

期刊: Journal of Pediatric Orthopaedics  (OVID Available online 1983)
卷期: Volume 3, issue 2  

页码: 141-148

 

ISSN:0271-6798

 

年代: 1983

 

出版商: OVID

 

关键词: Horizontal subtalar rotation;Flexor tendon sheath recession;Early ankle motion;Rating system

 

数据来源: OVID

 

摘要:

This final section on the new concept of and approach to treatment of clubfoot is the evaluation of 102 clubfeet treated over a 6-year period. Fifty-five unoperated feet received the surgical procedure described in Section II based on principles described in Section I. An attempt is made to evaluate the validity of correction of horizontal subtalar rotation, early ankle motion, recession of flexor tendon sheath on ankle motion and flexor hallucis longus function, early surgery, and release of the interosseous ligament. The results indicate that correction of horizontal subtalar rotation is beneficial and results in marked improvement in ankle motion by flexor tendon sheath recession and early motion. Longer follow-up is needed to determine the proper age for surgery. A rating system is developed and suggested for routine follow-up and comparison.

 

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