Ortiz Cristian, Wagner Emilio
Orthopedic Department, Clinica Alemana, Vitacura 5951, Vitacura, Santiago, Chile.
Orthopedic Department, Clinica Alemana, Vitacura 5951, Vitacura, Santiago, Chile.
Foot Ankle Clin. 2014 Mar;19(1):49-58. doi: 10.1016/j.fcl.2013.10.004. Epub 2013 Dec 17.
The use of tendon transfers in the cavovarus foot is a common surgical procedure because of the muscular imbalance present in this pathologic condition. Therefore, deforming forces are transferred to obtain movement and function. General principles must be followed for transfers to work; depending on the muscle deficiency and the function to restore, different tendon transfer options exist. The authors do not recommend tendon transfers for forefoot deformities in this setting. Postoperatively tendon transfers should be protected in a removable boot, but early protected weight bearing and motion is stimulated to obtain a well-functioning transfer and not a tenodesis.
由于马蹄内翻足存在肌肉失衡，肌腱转移术在该病症中是一种常见的外科手术。因此，通过转移致畸形力来获得运动和功能。肌腱转移术要发挥作用必须遵循一般原则；根据肌肉缺损情况和要恢复的功能，存在不同的肌腱转移选择。在这种情况下，作者不建议对前足畸形进行肌腱转移术。术后，肌腱转移部位应使用可拆卸的靴子进行保护，但应鼓励早期进行保护性负重和活动，以实现功能良好的转移，而非形成关节固定术。
