Ellington J Kent, Myerson Mark S
Institute for Foot and Ankle Reconstruction, Mercy Medical Center, Baltimore, MD, USA.
Instr Course Lect. 2011;60:311-20.
Rigid adult flatfoot deformity ranges in severity and is caused by a variety of conditions. Treatment is based on the etiology, the severity of symptoms, the stage of the deformity, and patient goals. Posterior tibial tendon pathology, osteoarthritis, posttraumatic arthritis/deformity, inflammatory arthropathy, and neuropathic arthropathy are all known causes of adult flatfoot deformity. Regardless of the cause, treatment goals are the same-restore a plantigrade foot, decrease symptoms, and increase function. When nonsurgical modalities have failed, many surgical reconstructive options are available to restore anatomy and function.
僵硬性成人扁平足畸形严重程度不一，由多种情况引起。治疗基于病因、症状严重程度、畸形阶段以及患者目标。胫后肌腱病变、骨关节炎、创伤后关节炎/畸形、炎性关节病和神经性关节病都是成人扁平足畸形的已知病因。无论病因如何，治疗目标都是相同的——恢复足底着地的足部形态、减轻症状并增强功能。当非手术治疗方法无效时，有多种手术重建选择可用于恢复解剖结构和功能。
