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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.

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。

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引用本文的文献

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Comparison between Malerba osteotomy and combined Evans/medial displacement calcaneal osteotomies for the management of flexible pes planus in young adults: a prospective randomised control trial, three years follow-up.Malerba截骨术与Evans截骨术/内侧移位跟骨截骨术联合治疗年轻成人柔韧性扁平足的比较:一项前瞻性随机对照试验,三年随访
Int Orthop. 2021 Oct;45(10):2579-2588. doi: 10.1007/s00264-021-05172-5. Epub 2021 Aug 20.
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A pictorial review of reconstructive foot and ankle surgery: evaluation and intervention of the flatfoot deformity.足踝重建手术的图片综述:扁平足畸形的评估与干预
J Radiol Case Rep. 2017 Jun 30;11(6):26-36. doi: 10.3941/jrcr.v11i6.2757. eCollection 2017 Jun.
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A mid-term follow-up of Koutsogiannis' osteotomy in adult-acquired flatfoot stage II and "early stage III".
对Koutsogiannis截骨术治疗成人后天性平足症II期和“早期III期”的中期随访。
SICOT J. 2017;3:24. doi: 10.1051/sicotj/2017011. Epub 2017 Mar 17.