DeHeer Patrick A
Surgery Department, Indiana University Health North Hospital, Carmel, IN, USA; Surgery Department, Johnson Memorial Hospital, Franklin, IN, USA; Department of Podiatric Medicine and Radiology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
Clin Podiatr Med Surg. 2017 Apr;34(2):207-227. doi: 10.1016/j.cpm.2016.10.008. Epub 2017 Jan 19.
Equinus is linked to most lower extremity biomechanically related disorders. Defining equinus as ankle joint dorsiflexion less than 5° of dorsiflexion with the knee extended is the basis for evaluation and management of the deformity. Consistent evaluation methodology using a goniometer with the subtalar joint in neutral position and midtarsal joint supinated while dorsiflexing the ankle with knee extended provides a consistent clinical examination. For equinus deformity with an associated disorder, comprehensive treatment mandates treatment of the equinus deformity. Surgical treatment of equinus offers multiple procedures but the Baumann gastrocnemius recession is preferred based on deformity correction without weakness.
马蹄足与大多数下肢生物力学相关疾病有关。将马蹄足定义为膝关节伸直时踝关节背屈小于5°是该畸形评估和治疗的基础。使用角度计进行一致的评估方法，在距下关节处于中立位且中跗关节旋后时，伸直膝关节背屈踝关节，可提供一致的临床检查。对于伴有相关疾病的马蹄足畸形，综合治疗要求治疗马蹄足畸形。马蹄足的手术治疗有多种术式，但基于在不导致无力的情况下矫正畸形，鲍曼腓肠肌松解术是首选。
