Viladot Voegeli Antonio, Fontecilla Cornejo Nicolás, Serrá Sandoval Juan Andrés, Alvarez Goenaga Fernando, Viladot Pericé Ramón
Tres Torres Clinic, Barcelona 08017, Spain.
Indisa Clinic, Santiago, Chile.
Foot Ankle Surg. 2018 Feb;24(1):28-33. doi: 10.1016/j.fas.2016.10.006. Epub 2016 Nov 5.
The aim of the study was to evaluate the clinical and radiological results obtained in the treatment of adult flexible flatfoot secondary to posterior tibial dysfunction with subtalar arthroereisis using a Kalix endorthesis.
35 patients (37 feet) were studied, having been operated between January 2010 and January 2015 for reducible flatfoot secondary to posterior tibial tendon dysfunction stage IIA1 of Bluman.
The average follow up was 47.52 months with a minimum of 14 months and a maximum of 75 months. The average age was 54.85, with an age range from 40 to 80 years old. In 74% of cases excellent or good results were obtained, according to our evaluation. The most common complication of this procedure was persistent pain in the sinus tarsi. 35% of cases in this group required implant removal for this reason.
We believe that arthroereisis is valid for the treatment of flat foot secondary to posterior tibial tendon dysfunction at this stage, giving a high percentage of good and excellent results.
本研究的目的是评估使用Kalix内置物通过距下关节稳定术治疗继发于胫后肌腱功能障碍的成人柔性扁平足的临床和放射学结果。
对2010年1月至2015年1月间因Bluman IIA1期胫后肌腱功能障碍导致的可复位扁平足而接受手术的35例患者（37足）进行了研究。
平均随访时间为47.52个月，最短14个月，最长75个月。平均年龄为54.85岁，年龄范围为40至80岁。根据我们的评估，74%的病例获得了优或良的结果。该手术最常见的并发症是跗骨窦持续疼痛。该组中35%的病例因此需要取出植入物。
我们认为距下关节稳定术对于治疗此阶段继发于胫后肌腱功能障碍的扁平足是有效的，能产生较高比例的优和良的结果。
