Department of Foot Surgery, Clinics of Traumatology and Orthopedics, St. George Hospital, Lohmühlenstrasse 5, Hamburg D-20099, Germany.
SSM Health DePaul Hospital, Foot and Ankle Surgery Residency, 12303 DePaul Drive, Suite 701, St Louis, MO 63044, USA.
Clin Podiatr Med Surg. 2021 Jul;38(3):427-443. doi: 10.1016/j.cpm.2021.02.005.
Management of the cavus foot is a difficult task for the foot and ankle surgeon. Tendon transfers have been a longstanding accepted treatment for the flexible cavus foot. Performing tendon transfers requires an in-depth understanding of the patient's medical history, factors leading to the development of deformity, as well as the deforming forces contributing to the deformity. Evaluation of the patient for rigid, progressive, and/or spastic deformities is critical to avoid postoperative complications. Educating the patient on postoperative rehabilitation, potential complications, and postoperative expectations is essential to ensure appropriate surgical outcomes.
足踝外科医生在处理高弓足方面面临着艰巨的挑战。肌腱转移术一直是治疗柔软性高弓足的长期公认的治疗方法。进行肌腱转移术需要深入了解患者的病史、导致畸形发展的因素以及导致畸形的变形力。评估患者是否存在僵硬性、进行性和/或痉挛性畸形对于避免术后并发症至关重要。向患者讲解术后康复、潜在并发症和术后预期是确保手术效果的关键。