Arbab Dariusch, Lüring Christian, Mutschler Manuel, Gutteck Natalia, Bouillon Bertil
Orthopädische Klinik, Klinikum Dortmund, Fakultät Gesundheit Universität Witten/Herdecke, Beurhausstr. 41, 44137, Dortmund, Deutschland.
Orthopädische Klinik, Klinikum Dortmund, Dortmund, Deutschland.
Orthopade. 2020 Nov;49(11):954-961. doi: 10.1007/s00132-020-03991-9.
Flexible adult acquired flatfoot deformity includes a wide spectrum of fore- and hindfoot pathologies and remains a complex clinical challenge. Clinical history, inspection and accurate physical examination are paramount for diagnosis. Early stages of flexible adult acquired flatfoot deformity present with increased hindfoot valgus and medial arch collapse. Operative management typically consists of an open medializing calcaneal osteotomy and an augmentation of the insufficient posterior tibial muscle using a flexor digitorum longus tendon transfer. New surgical techniques and a deeper understanding of pathophysiology may change traditional treatment pathways.
成人柔性获得性平足畸形包括广泛的前足和后足病理状况，仍然是一项复杂的临床挑战。临床病史、检查和准确的体格检查对诊断至关重要。成人柔性获得性平足畸形的早期表现为后足外翻增加和内侧足弓塌陷。手术治疗通常包括开放性跟骨内移截骨术，以及使用趾长屈肌腱转移术增强不足的胫后肌。新的手术技术和对病理生理学的更深入理解可能会改变传统的治疗途径。
