Crevoisier Xavier, Assal Mathieu
Service de chirurgie orthopédique et traumatologie, CHUV, Lausanne.
Rev Med Suisse. 2007 Dec 19;3(138):2892-4, 2896-8.
Acquired adult flatfoot deformity is a commonly encountered entity in orthopaedic practice. It results mainly from posterior tibial tendon (PTT) dysfunction, is more common in women and frequently associated with obesity. The four severity stages are based on dysfunction of the PTT, on the reducibility of the deformity, and on the condition of the hindfoot joints. Conservative treatment is functionally efficient in the early stages and may also contribute to analgesia in advanced stages. The goal of surgery is to restore a functional mobility in the early stages and to achieve rigid stabilization of the hindfoot in the late stages. The treatment's choice and the control of the predisposing factors for acquired flatfoot depends upon a close collaboration between the family physician and the orthopaedic surgeon.
获得性成人扁平足畸形是骨科临床中常见的病症。它主要由胫后肌腱（PTT）功能障碍引起，在女性中更为常见，且常与肥胖相关。四个严重程度阶段基于PTT的功能障碍、畸形的可复性以及后足关节的状况。保守治疗在早期功能上有效，在晚期也可能有助于镇痛。手术的目标是在早期恢复功能活动度，在晚期实现后足的牢固稳定。获得性扁平足治疗方法的选择和易感因素的控制取决于家庭医生和骨科医生之间的密切合作。
