Foot and Ankle Department, Hospital for Special Surgery, 535 East 70th St, New York, NY, 10021, USA,
Curr Rev Musculoskelet Med. 2013 Dec;6(4):294-303. doi: 10.1007/s12178-013-9173-z.
Adult acquired flatfoot deformity (AAFD), embraces a wide spectrum of deformities. AAFD is a complex pathology consisting both of posterior tibial tendon insufficiency and failure of the capsular and ligamentous structures of the foot. Each patient presents with characteristic deformities across the involved joints, requiring individualized treatment. Early stages may respond well to aggressive conservative management, yet more severe AAFD necessitates prompt surgical therapy to halt the progression of the disease to stages requiring more complex procedures. We present the most current diagnostic and therapeutic approaches to AAFD, based on the most pertinent literature and our own experience and investigations.
成人获得性平足症（AAFD），涵盖了广泛的畸形。AAFD 是一种复杂的病理学，既有胫骨后肌腱不足，也有足部囊状和韧带结构的失败。每个患者在受累关节上都表现出特征性的畸形，需要个体化治疗。早期阶段可能对积极的保守治疗反应良好，但更严重的 AAFD 需要及时手术治疗，以阻止疾病进展到需要更复杂手术的阶段。我们根据最新的文献以及我们自己的经验和研究，提出了目前对 AAFD 的诊断和治疗方法。
