Hintermann B
Klinik für Orthopädie und Traumatologie des Bewegungsapparates, Kantonsspital Baselland, Rheinstrasse 26, 4410, Liestal, Schweiz,
Oper Orthop Traumatol. 2015 Aug;27(4):298-307. doi: 10.1007/s00064-015-0408-6. Epub 2015 Jul 23.
Lengthening of the lateral column for adduction of forefoot and restoration of the medial arch. Stabilization of the ankle joint complex.
Supple flatfoot deformity (posterior tibial tendon dysfunction stage II). Instability of the medial ankle joint complex (superficial deltoid and spring ligament). Posttraumatic valgus and pronation deformity of the foot.
Rigid flatfoot deformity (posterior tibial tendon dysfunction stage III and IV). Talocalcaneal and naviculocalcaneal coalition. Osteoarthritis of calcaneocuboid joint.
Exposition of calcaneus at sinus tarsi. Osteotomy through sinus tarsi and widening until desired correction of the foot is achieved. Insertion of bone graft. Screw fixation.
Immobilization in a cast for 6 weeks. Weight-bearing as tolerated from the beginning.
In the majority of cases, part of hindfoot reconstruction. Reliable and stable correction. Safe procedure with few complications.
延长外侧柱以矫正前足内收并恢复内侧足弓。稳定踝关节复合体。
柔韧性扁平足畸形（胫后肌腱功能障碍II期）。内侧踝关节复合体不稳定（浅层三角韧带和弹簧韧带）。足部创伤后外翻和旋前畸形。
僵硬性扁平足畸形（胫后肌腱功能障碍III期和IV期）。距跟和舟跟联合。跟骰关节骨关节炎。
在跗骨窦处显露跟骨。通过跗骨窦截骨并扩宽，直至达到所需的足部矫正。植入骨 graft。螺钉固定。
石膏固定6周。从一开始就根据耐受情况负重。
在大多数病例中，实现了部分后足重建。矫正可靠且稳定。手术安全，并发症少。
