Northwest Iowa Bone, Joint, & Sports Surgeons, 1200 1st Avenue E, Suite C, Spencer, IA 51301, USA.
American Health Network Foot & Ankle Reconstructive Surgery Fellowship, 12188B North Meridian Street, Suite #330, Carmel, IN 46032, USA.
Clin Podiatr Med Surg. 2021 Jul;38(3):379-389. doi: 10.1016/j.cpm.2021.03.002.
Cavovarus deformity is a complicated condition most commonly resulting from neurologic, posttraumatic, or iatrogenic pathologic conditions. Careful evaluation of the cavovarus patient is necessary in determining appropriate treatment course. Weight-bearing radiographs are necessary, and advances in computed tomographic technology can be beneficial in identifying level of involvement. In the case of operative treatment of inframalleolar deformity, assessment of the subtalar joint position and relation of calcaneocuboid joint can be of assistance. Multiple osteotomies have been described providing uniplanar, biplanar, and triplanar correction and in the appropriate setting can prove beneficial to the surgeon in treating hind-foot cavovarus deformity.
马蹄内翻足畸形是一种复杂的疾病,最常见的病因是神经、创伤或医源性病变。在确定合适的治疗方案时,需要对马蹄内翻足患者进行仔细评估。负重位 X 线片是必要的,而计算机断层扫描技术的进步有助于确定受累程度。对于跗骨下畸形的手术治疗,评估距下关节的位置和跟骰关节的关系可能会有所帮助。已经描述了多种截骨术,提供了单平面、双平面和三平面矫正,在适当的情况下,这些截骨术对治疗后足马蹄内翻足畸形的外科医生非常有益。