Miller Mark, Dobbs Matthew B
J Am Acad Orthop Surg. 2015 Oct;23(10):604-11. doi: 10.5435/JAAOS-D-14-00034. Epub 2015 Sep 3.
Congenital vertical talus is a rare foot deformity. If left untreated, it causes significant disability, including pain and functional limitations. Although the etiology of vertical talus is likely heterogeneous, recent evidence strongly supports a genetic cause linking it to genes expressed during early limb development. Traditional management for vertical talus involves extensive surgeries that are associated with significant short- and long-term complications. A minimally invasive approach that relies on serial manipulation and casting to achieve most of the correction has been shown to produce excellent short-term results with regard to clinical and radiographic correction in both isolated and nonisolated cases of vertical talus. Although long-term studies are needed, achieving correction without extensive surgery may lead to more flexible and functional feet, much as Ponseti method has done for clubfeet.
先天性垂直距骨是一种罕见的足部畸形。如果不进行治疗，会导致严重残疾，包括疼痛和功能受限。尽管垂直距骨的病因可能具有异质性，但最近的证据有力地支持了一种遗传病因，将其与肢体早期发育过程中表达的基因联系起来。传统的垂直距骨治疗方法包括广泛的手术，这些手术会带来严重的短期和长期并发症。一种依靠连续手法复位和石膏固定来实现大部分矫正的微创方法，在孤立性和非孤立性垂直距骨病例的临床和影像学矫正方面已显示出优异的短期效果。尽管需要长期研究，但像庞塞蒂方法治疗马蹄内翻足那样，不进行广泛手术而实现矫正可能会使足部更灵活且功能更好。
