Meyr Andrew J, Sansosti Laura E, Ali Sayed
Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania, USA.
Podiatric Surgical Residency Program, Temple University Hospital, Philadelphia, Pennsylvania, USA.
J Radiol Case Rep. 2017 Jun 30;11(6):26-36. doi: 10.3941/jrcr.v11i6.2757. eCollection 2017 Jun.
This pictorial review focuses on basic procedures performed within the field of podiatric surgery, specifically for elective reconstruction of the midfoot and rearfoot with focus on the flatfoot deformity. Our goal is to demonstrate objective radiographic parameters that surgeons utilize to initially define the deformity, lead to procedure selection, and judge post-operative outcomes. We hope that radiologists will employ this information to improve their assessment of post-operative radiographs following reconstructive foot surgeries. First, relevant radiographic measurements are defined and their role in procedure selection explained. Second, the specific surgical procedures of the Evans calcaneal osteotomy, medial calcaneal slide osteotomy, Cotton osteotomy, subtalar joint arthroeresis, and arthrodeses of the rearfoot are described. Finally, specific plain film radiographic findings that judge post-operative outcomes for each procedure are detailed.
本图文综述聚焦于足外科领域所施行的基本手术，特别是针对中足和后足的择期重建手术，重点关注扁平足畸形。我们的目标是展示外科医生用于初步界定畸形、指导手术选择以及评判术后效果的客观影像学参数。我们希望放射科医生能利用这些信息来改进他们对足部重建手术后X光片的评估。首先，定义相关的影像学测量方法并解释其在手术选择中的作用。其次，描述伊文斯跟骨截骨术、内侧跟骨滑动截骨术、科顿截骨术、距下关节制动术以及后足关节融合术的具体手术步骤。最后，详细阐述评判每种手术术后效果的具体平片影像学表现。
