进行性塌陷足畸形：手术矫正目标的共识。
Progressive Collapsing Foot Deformity: Consensus on Goals for Operative Correction.
机构信息
University of Washington, Seattle, WA, USA.
Kantonspital Baselland, Liestal, Switzerland.
出版信息
Foot Ankle Int. 2020 Oct;41(10):1299-1302. doi: 10.1177/1071100720950759. Epub 2020 Aug 27.
RECOMMENDATION
In the treatment of progressive collapsing foot deformity (PCFD), the combination of bone shape, soft tissue failure, and host factors create a complex algorithm that may confound choices for operative treatment. Realignment and balancing are primary goals. There was consensus that preservation of joint motion is preferred when possible. This choice needs to be balanced with the need for performing joint-sacrificing procedures such as fusions to obtain and maintain correction. In addition, a patient's age and health status such as body mass index is important to consider. Although preservation of motion is important, it is secondary to a stable and properly aligned foot.
LEVEL OF EVIDENCE
Level V, consensus, expert opinion.
建议
在治疗进行性塌陷足畸形（PCFD）时，骨形态、软组织失败和宿主因素的组合形成了一个复杂的算法，可能会使手术治疗的选择变得复杂。重新对线和平衡是主要目标。当可能时，关节运动的保留被认为是首选。这种选择需要在需要进行关节牺牲性手术（如融合）以获得和维持矫正之间取得平衡。此外，患者的年龄和健康状况，如体重指数，也是需要考虑的重要因素。尽管关节运动的保留很重要，但它次于稳定且适当对线的足部。
证据水平
V 级，共识，专家意见。
Zotero 插件