Ortiz Cristian A, Wagner Emilio, Wagner Pablo
Foot and Ankle Department, Clinica Universidad de los Andes, Universidad del, Santiago, Chile.
Foot and Ankle Department, Clinica Alemana, Universidad del Desarrollo, Avenida la Plaza 2501, Santiago 7620001, Chile.
Foot Ankle Clin. 2018 Sep;23(3):415-434. doi: 10.1016/j.fcl.2018.04.010. Epub 2018 Jul 3.
One of the most common orthopedic problems in the authors' practice is flatfoot and, although it is most commonly treated conservatively, there is still lack of consensus about the type of surgical treatment that is best recommended in a specific patient. Keeping in mind that medial soft tissue reconstruction alone has not proved enough as an isolated procedure and that osteotomies and arthrodesis are considered more invasive surgery, arthroereisis is a quick, easy, and reproducible technique that seems to have good results without major complications in the correct patient. Indications, biomechanical principles, and technique are described in this article.
作者临床实践中最常见的骨科问题之一是扁平足,尽管其最常采用保守治疗,但对于特定患者最佳推荐的手术治疗类型仍缺乏共识。鉴于单独的内侧软组织重建作为一种孤立的手术方法已被证明是不够的,并且截骨术和关节融合术被认为是侵入性更大的手术,关节造形术是一种快速、简便且可重复的技术,对于合适的患者似乎能产生良好效果且无重大并发症。本文将描述其适应症、生物力学原理和技术。