[高弓足的前路跗骨切除术：适应症及长期疗效]

[Anterior tarsectomy for pes cavus: indications and long term results].

作者信息

Meary R, Mattéi C R, Toméno B

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1976 Mar;62(2):231-43.

Abstract

The authors have reviewed 48 cases of pes cavus treated by anterior tarsectomy with an average follow-up of two years. The clinical, anatomical and radiological features of the condition are described. The results were satisfactory in two-thirds of the cases. Failures were related to unsatisfactory indications such as children under thirteen, progressive neurological disease or associated impairment of the ankle joint (arthritis, dislocation). The indications for the procedure are discussed and compared with those for Dwyer calcaneal osteotomy, triple arthrodesis, soft tissue operations (Steindler) or resection of the metatarsal heads.

摘要

作者回顾了48例经前路跗骨切除术治疗的高弓足病例，平均随访两年。描述了该病症的临床、解剖学和放射学特征。三分之二的病例结果令人满意。手术失败与不恰当的适应症有关，如13岁以下儿童、进行性神经疾病或踝关节相关损伤（关节炎、脱位）。讨论了该手术的适应症，并与德怀尔跟骨截骨术、三关节融合术、软组织手术（施泰德勒手术）或跖骨头切除术的适应症进行了比较。