解决II期胫后肌腱功能障碍：通过生物力学修复骨结构，无需进行趾长屈肌转移。

Addressing stage II posterior tibial tendon dysfunction: biomechanically repairing the osseous structures without the need of performing the flexor digitorum longus transfer.

作者信息

DiDomenico Lawrence A, Thomas Zachary M, Fahim Ramy

机构信息

Ankle & Foot Care Centers, 8175 Market Street, Youngstown, OH 44512, USA; St. Elizabeth Hospital, Youngstown, Ohio; Heritage Valley Hospital, Beaver, Pennsylvania, USA.

Heritage Valley Hospital, Beaver, Pennsylvania, USA.

出版信息

Clin Podiatr Med Surg. 2014 Jul;31(3):391-404. doi: 10.1016/j.cpm.2014.03.008.

DOI:10.1016/j.cpm.2014.03.008

PMID:24980929

Abstract

The clinical presentation of adult flatfoot can range from a flexible deformity with normal joint integrity to a rigid, arthritic flat foot. Debate still exists regarding the surgical management of stage II deformities, especially in the presence of medial column instability. This article reviews and discusses various surgical options for the correction of stage II flatfoot reconstructive procedures. The authors discuss their opinion that is not always necessary to transfer the flexor digitorum longus tendon to provide relief and stability in this patient population. The anatomy, diagnosis, and current treatments of flexible flatfoot deformity are discussed.

摘要

成人扁平足的临床表现范围广泛，从关节完整性正常的柔韧性畸形到僵硬的关节炎性扁平足。关于II期畸形的手术治疗，尤其是在内侧柱不稳定的情况下，仍存在争议。本文回顾并讨论了用于矫正II期扁平足重建手术的各种手术选择。作者讨论了他们的观点，即在这类患者中，并不总是需要转移趾长屈肌腱来缓解症状和提供稳定性。文中还讨论了柔韧性扁平足畸形的解剖结构、诊断方法及当前的治疗手段。