Footbridge Clinic, Unit 221, 181 Keefer Place, Vancouver, British Columbia V6B 6C1, Canada; Department of Orthopaedics and Traumatology, Cantonal Hospital of Winterthur, Switzerland.
Footbridge Clinic, Unit 221, 181 Keefer Place, Vancouver, British Columbia V6B 6C1, Canada.
Foot Ankle Clin. 2020 Sep;25(3):413-424. doi: 10.1016/j.fcl.2020.05.005. Epub 2020 Jul 11.
The windswept foot remains a reconstructive challenge. The hallux valgus associated with the medially displaced lesser metatarsal heads is hard to correct. Either the lesser metatarsal heads need to be displaced laterally or the deformity accepted. With the deformity, all the toes tend to be aligned into valgus with the position of the flexor and extensor tendons. Several treatment alternatives exist and may require a combination of open and percutaneous surgery. The authors think that, in severe metatarsus adductus, proximal correction of the first, second, and third metatarsals is required.
受风吹袭的足部仍然是一个重建挑战。大脚趾外翻伴小跖骨头向内侧移位很难矫正。要么小跖骨头需要向外侧移位，要么接受畸形。畸形存在时，所有脚趾都会因屈肌和伸肌肌腱的位置而呈外翻排列。有几种治疗选择，可能需要开放手术和经皮手术的结合。作者认为，在严重的内收足畸形中，需要对第一、第二和第三跖骨进行近端矫正。
