Wan Stephen C
Department of Podiatry, Torrance Memorial Medical Center, CA 90505, USA.
Clin Podiatr Med Surg. 2006 Jan;23(1):23-40, vii-viii. doi: 10.1016/j.cpm.2005.10.008.
Metatarsus adductus deformity should be recognized and addressed appropriately and in a timely fashion so as to achieve an effective correction with low rates of recurrence. Early diagnosis and treatment are of paramount importance, because spontaneous resolution is rare. Although nonoperative treatment is desirable via manipulation and soft tissue stretching and serial cast immobilization, appropriate surgical intervention needs to be used on occasion to achieve correction of resistant cases. Depending on the severity and flexibility of the deformity and the age of the patient, various methods of surgical reconstruction are available. A long-standing untreated or undertreated adductus deformity can lead to the formation of a skewfoot deformity with more significant symptoms and deformity. Treatment of this deformity is rarely successful by nonoperative means, and appropriate surgical procedures addressing the metatarsal adductus component and the flatfoot component can be used for correction of the dysfunctional or symptomatic skewfoot.
内收足畸形应得到及时、恰当的识别和处理，以实现有效的矫正并降低复发率。早期诊断和治疗至关重要，因为自行缓解的情况很少见。尽管通过手法操作、软组织拉伸和连续石膏固定进行非手术治疗是可取的，但有时需要进行适当的手术干预以矫正难治性病例。根据畸形的严重程度、灵活性以及患者的年龄，有多种手术重建方法可供选择。长期未治疗或治疗不足的内收畸形可导致斜足畸形的形成，症状和畸形更为明显。通过非手术方法治疗这种畸形很少成功，针对跖骨内收成分和平足成分的适当手术程序可用于矫正功能障碍或有症状的斜足。
