De Pellegrin M
Ortopedia Infantile, Università Vita-Salute, Ospedale San Raffaele, Via Olgettina 60, 20132 Milan, Italy.
Orthopade. 2005 Sep;34(9):941-53, quiz 954. doi: 10.1007/s00132-005-0835-4.
Minimally invasive subtalar screw-arthroereisis has gained interest in the correction of flat feet in children. Between 1990 and 2004, this technique was used on 152 children, 74 bilaterally, for a total of 226 feet. There were 82 boys and 70 girls, with an average age of 10.6+/-1.9 years. The results were good in 95.4% of cases, whilst there were complications in 4.6%. For well corrected feet, 55 screws have now been removed, on average 2.9 years after implantation. The indications for such treatment are: talipes calcaneovalgus, which develops into a flat foot (spontaneous correction can be expected to 10-11 years), juvenile flat foot with medial protrusion of the talar head and complete absence of the longitudinal arch, symptomatic talipes calcaneovalgus with pain on the insertion of the tibialis posterior tendon, a minimum age of 6 years if a correction with conservative treatment does not show any improvement; a maximum age of 12-13 years considering that there always has to be a manual reducibility of the deformity.
posttraumatic flat foot, congenital flat foot, stiff flat foot, age over 13 years.
微创距下关节螺钉阻滞术在儿童扁平足矫正中受到关注。1990年至2004年期间，该技术应用于152名儿童，其中74名双侧应用，共计226只脚。有82名男孩和70名女孩，平均年龄为10.6±1.9岁。95.4%的病例结果良好，4.6%出现并发症。对于矫正良好的足部，现已取出55枚螺钉，平均植入后2.9年。这种治疗的适应症为：可发展为扁平足的跟骨外翻足（预计10至11岁可自发矫正）、距骨头内侧突出且完全没有纵弓的青少年扁平足、胫后肌腱附着处疼痛的有症状跟骨外翻足、若保守治疗矫正无改善则最低年龄为6岁；考虑到畸形必须始终可手法复位，最高年龄为12至13岁。
创伤后扁平足、先天性扁平足、僵硬性扁平足、年龄超过13岁。
