Bohay Donald R, Anderson John G
Department of Orthopaedic Surgery, Michigan State University, College of Human Medicine, USA.
Foot Ankle Clin. 2003 Sep;8(3):619-36. doi: 10.1016/s1083-7515(03)00013-5.
Stage IV PTTD is the most challenging of the posterior tibial tendon deficiencies. The combination of a flattened longitudinal arch and a tilted ankle make successful management unpredictable. Conservative management universally fails and surgical options have been limited to pantalar and tibiotalocalcaneal arthrodesis. Alternatives to surgical management included herein are unproven, but provide a potential solution beyond that of arthrodesis.
IV期胫后肌腱功能不全是胫后肌腱缺损中最具挑战性的。扁平的纵弓和倾斜的踝关节相结合，使得成功治疗难以预测。保守治疗普遍失败，手术选择仅限于全距关节和胫距跟关节融合术。本文所述的手术治疗替代方案未经证实，但提供了一种融合术之外的潜在解决方案。
