Erard Maj Uma E, Sheean Maj Andrew J, Sangeorzan Bruce J
Department of Orthopaedic Surgery, San Antonio Military Medical Center, San Antonio, TX, USA.
Orthopedics and Sports Medicine, University of Washington, Seattle, WA, USA.
Foot Ankle Orthop. 2019 Aug 19;4(3):2473011419849609. doi: 10.1177/2473011419849609. eCollection 2019 Jul.
Originally described as a means to address fixed deformities or uncontrolled movement of the hindfoot observed in paralytic foot deformities, triple arthrodesis has evolved into a powerful procedure for the correction of a variety of foot deformities. Over the past decade, multiple advances have been made with respect to diagnostic imaging, fixation options, bone graft substitutes, and postoperative regimens. While this operation requires experience and skill to execute, when properly performed, it allows for correction of deformity and a plantigrade and ideally pain-free foot for ambulation. The purpose of this review is to highlight advances in the procedure and its application to the rigid planovalgus foot.
Level V, review.
三关节融合术最初被描述为一种解决麻痹性足部畸形中观察到的后足固定畸形或不受控制运动的方法,现已发展成为矫正各种足部畸形的有效手术。在过去十年中,在诊断成像、固定选择、骨移植替代物和术后治疗方案方面取得了多项进展。虽然该手术需要经验和技巧来实施,但如果操作得当,它能够矫正畸形,使足部成为适合行走的平足且理想情况下无痛。本综述的目的是强调该手术的进展及其在僵硬性平足外翻足中的应用。
V级,综述。