Trnka Hans-Jörg
Fusszentrum Wien, Alserstr. 43/8d, 1080, Wien, Österreich.
Orthopade. 2020 Nov;49(11):985-990. doi: 10.1007/s00132-020-03994-6.
In the case of a rigid flatfoot deformity, joint-preserving techniques like soft-tissue balancing and osteotomies do not achieve acceptable results. This is the indication for arthrodesis. The selection of the arthrodesis depends on the amount of deformity, localisation of the rigidity and the general health status of the patient. Isolated arthrodesis can be combined with soft-tissue reconstructions. It is functionally advantageous to preserve as many joints as possible.
对于僵硬性平足畸形，诸如软组织平衡和截骨术等保留关节的技术无法取得可接受的效果。这就是关节融合术的适应症。关节融合术的选择取决于畸形的程度、僵硬的部位以及患者的总体健康状况。孤立的关节融合术可与软组织重建相结合。尽可能保留更多关节在功能上具有优势。
