Taylor Ross, Sammarco V James
Coastal Orthopedics, 2376 Cypress Circle Suite 300, Conway, SC 29526, USA.
Foot Ankle Clin. 2012 Jun;17(2):337-49. doi: 10.1016/j.fcl.2012.03.010.
The goals of surgery for the rigid flatfoot are to achieve a painless, stable, functional plantigrade foot. Although triple arthrodesis affords predictable correction and pain relief, the long-term sequelae of extended hindfoot fusions include arthritis and often the need for further, more extensive fusion procedures. We propose that satisfactory results can be achieved in the rigid flatfoot by limiting fusion to joints that are arthritic, and correcting associated deformity with osteotomy and soft tissue reconstruction.
僵硬性平足症的手术目标是实现无痛、稳定且功能正常的足底着地的足部状态。尽管三关节融合术能提供可预测的矫正效果并缓解疼痛，但后足广泛融合的长期后遗症包括关节炎，且常常需要进一步进行更广泛的融合手术。我们认为，对于僵硬性平足症，通过将融合限制在患有关节炎的关节，并采用截骨术和软组织重建来矫正相关畸形，可取得满意的效果。
