Giorgini Renato, Giorgini Tara, Calderaro Michele, Japour Christopher, Cortes Jane, Kim David
North General Hospital, New York, NY, USA.
J Foot Ankle Surg. 2010 Sep-Oct;49(5):411-6. doi: 10.1053/j.jfas.2010.06.012.
Symptomatic flatfoot is a prevalent disorder. We undertook a review of 50 feet in 39 patients with flexible flatfoot treated between August 2000 and January 2008 in order to evaluate the modified Kidner-Cobb procedure. Overall clinical results were rated as good in 48 (96%) feet and fair in 2 (4%) feet, and there were no poor results. Average follow-up was 4.6 years, and total recovery time was 5.7 months in older patients and 3.7 months in children. Manual muscle-strength testing revealed no difference in tibialis anterior strength between the operated and contralateral extremity. All patients visually demonstrated postoperative elevation of the medial longitudinal arch height. Complications included 2 feet with wound dehiscence and 1 foot with fractured hardware. The results of this review indicate that the modified Kidner-Cobb procedure is a useful treatment option for patients with symptomatic flexible flatfoot with posterior tibial tendon dysfunction stage 2.
症状性扁平足是一种常见疾病。我们对2000年8月至2008年1月间接受治疗的39例柔性扁平足患者的50只脚进行了回顾性研究，以评估改良的Kidner-Cobb手术。总体临床结果评为48只脚（96%）良好，2只脚（4%）一般，无差的结果。平均随访4.6年，老年患者总恢复时间为5.7个月，儿童为3.7个月。徒手肌力测试显示，手术侧与对侧胫前肌力量无差异。所有患者术后均可见内侧纵弓高度升高。并发症包括2只脚伤口裂开和1只脚内固定物断裂。本回顾性研究结果表明，改良的Kidner-Cobb手术是治疗症状性柔性扁平足伴胫后肌腱功能障碍2期患者的一种有效治疗选择。
