Jastifer James R, Coughlin Michael J
Borgess Orthopaedics, Kalamazoo, MI
Borgess Orthopaedics, Kalamazoo, MI.
Foot Ankle Spec. 2015 Feb;8(1):50-8. doi: 10.1177/1938640014557078. Epub 2014 Nov 7.
Calcaneal tuberosity osteotomies are commonly used to treat coronal plane deformities of the hindfoot. Assessing hindfoot alignment can be difficult and there is little evidence to guide the physician when considering the surgical treatment of these deformities. The indications for a calcaneal osteotomy are unclear in the literature because most of the published studies supporting their use are confounded by concurrent procedures such as in adult-acquired flatfoot correction or cavovarus reconstruction. For the same reason, the biomechanical consequences, long-term effects, and performance in vivo are largely unknown.
Expert opinion, Level V.
跟骨结节截骨术常用于治疗后足的冠状面畸形。评估后足对线可能具有挑战性,并且在考虑这些畸形的手术治疗时,几乎没有证据可指导医生。跟骨截骨术的适应证在文献中并不明确,因为大多数支持其使用的已发表研究都因诸如成人获得性平足矫正或高弓足重建等同期手术而受到混淆。出于同样的原因,其生物力学后果、长期影响和体内性能在很大程度上尚不清楚。
专家意见,V级。