成人柔性获得性平足畸形的手术选择

Procedure selection for the flexible adult acquired flatfoot deformity.

作者信息

Hentges Matthew J, Moore Kyle R, Catanzariti Alan R, Derner Richard

机构信息

Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.

出版信息

Clin Podiatr Med Surg. 2014 Jul;31(3):363-79. doi: 10.1016/j.cpm.2014.03.003. Epub 2014 May 20.

DOI:10.1016/j.cpm.2014.03.003

PMID:24980927

Abstract

Adult acquired flatfoot represents a spectrum of deformities affecting the foot and the ankle. The flexible, or nonfixed, deformity must be treated appropriately to decrease the morbidity that accompanies the fixed flatfoot deformity or when deformity occurs in the ankle joint. A comprehensive approach must be taken, including addressing equinus deformity, hindfoot valgus, forefoot supinatus, and medial column instability. A combination of osteotomies, limited arthrodesis, and medial column stabilization procedures are required to completely address the deformity.

摘要

成人获得性平足代表了一系列影响足部和踝关节的畸形。对于灵活的或非固定性的畸形，必须进行适当治疗，以降低伴随固定性平足畸形或踝关节出现畸形时所产生的发病率。必须采取综合方法，包括解决马蹄畸形、后足外翻、前足内旋以及内侧柱不稳定问题。需要结合截骨术、有限关节融合术和内侧柱稳定手术来彻底解决畸形问题。