微创外科在成人平足畸形中的作用。

Role of Minimally Invasive Surgery in Adult Flatfoot Deformity.

机构信息

Department of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Via Pansini 5, Naples 80131, Italy; Foot and Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, UK.

Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, Orpington, London BR68ND, UK.

出版信息

Foot Ankle Clin. 2020 Sep;25(3):479-491. doi: 10.1016/j.fcl.2020.05.007. Epub 2020 Jun 18.

DOI:10.1016/j.fcl.2020.05.007

PMID:32736743

Abstract

Adult acquired flatfoot deformity (AAFD) as a consequence of posterior tibial tendon dysfunction is commonly divided in flexible (stages I and II) and fixed (stages III and IV) deformities. The aim of this article is to summarize the evidence available for minimally invasive surgical techniques that can be used in the treatment of flexible AAFD, including tibialis posterior tendoscopy, subtalar arthroereisis, minimally invasive calcaneal osteotomy, and medial proximal gastrocnemius recession. A treatment algorithm and technical tips have also been provided.

摘要

成人获得性扁平足畸形（AAFD）是由于胫骨后肌腱功能障碍引起的，通常分为柔韧性（I 期和 II 期）和固定性（III 期和 IV 期）畸形。本文的目的是总结可用于治疗柔韧性 AAFD 的微创外科技术的现有证据，包括胫骨后肌腱镜检查、距下关节融合术、微创跟骨截骨术和内侧腓肠肌近侧部切除术。还提供了治疗算法和技术要点。