Greenfield Stephen, Cohen Bruce
OrthoCarolina Foot & Ankle Institute, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA.
OrthoCarolina Foot & Ankle Institute, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA.
Foot Ankle Clin. 2017 Sep;22(3):563-571. doi: 10.1016/j.fcl.2017.04.011. Epub 2017 Jun 9.
Adult acquired flatfoot deformity is a debilitating condition typically affecting middle-aged patients. The multiple components include hindfoot valgus, first ray elevation, medial soft tissue compromise, and forefoot abduction. As the foot becomes unbalanced, the deformity progresses with repetitive loading and time. Untreated patients often need significant reconstructions or extensive arthrodesis after arthritis and joint contractures present. Medializing calcaneal osteotomy is the workhorse operation for correction of hindfoot valgus, reliably correcting deformity with a relatively low complication risk. This article reviews indications, techniques, complications, and outcomes for the medializing calcaneal osteotomy.
成人获得性平足畸形是一种使人衰弱的病症，通常影响中年患者。其多种构成要素包括后足外翻、第一跖骨抬高、内侧软组织受损以及前足外展。随着足部变得失衡，畸形会随着反复负重和时间而进展。未经治疗的患者在出现关节炎和关节挛缩后往往需要进行重大重建手术或广泛的关节融合术。跟骨内移截骨术是矫正后足外翻的主要手术，能可靠地矫正畸形，且并发症风险相对较低。本文回顾了跟骨内移截骨术的适应症、技术、并发症及疗效。
