Schinca Nuri, Lasalle Alicia, Alvarez Josefina
Foot and Ankle Surgery Service, British Hospital, Italia Avenue 2420, CP 11600, Montevideo, Uruguay.
Foot Ankle Clin. 2012 Jun;17(2):227-45. doi: 10.1016/j.fcl.2012.02.002. Epub 2012 Apr 4.
Young’s procedure contains an action mechanism that works better than other techniques on the pathophysiology of FFD. It respects the anatomy and biomechanics of the foot to reach the necessary muscular balance. The benefits of this technique include that the ATT is not detached, so its function mechanism is still active; the new trajectory of the ATT provides a powerful sling function at the level of the navicular; and the horizontal trajectory of the ATT and the osteoperiosteal flaps constitute a powerful inner capsular–tendinous–ligamentous support. What is more, an insufficiency of the ATT is created, which results in a predominance of the peroneus lateral longus, that descends and prones the forefoot. Additional procedures, such as medial displacement calcaneal osteotomy, should be considered to correct the entire deformity. The combination of these techniques do not sacrifice the joint mobility.
杨氏手术包含一种作用机制，在扁平足畸形的病理生理学方面，其效果优于其他技术。它尊重足部的解剖结构和生物力学，以实现必要的肌肉平衡。该技术的优点包括：距下关节前中关节囊韧带（ATT）未被分离，因此其功能机制仍保持活跃；ATT的新轨迹在舟骨水平提供了强大的吊带功能；ATT的水平轨迹和骨膜瓣构成了强大的内侧关节囊 - 肌腱 - 韧带支撑。此外，还造成了ATT功能不全，导致腓骨长肌占优势，使前足下降并内旋。应考虑采用其他手术，如跟骨内侧移位截骨术，以纠正整个畸形。这些技术的联合应用不会牺牲关节活动度。
