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足部与踝关节手术并发症的处理:渐进性塌陷性足部畸形的重建

Managing Complications of Foot and Ankle Surgery: Reconstruction of the Progressive Collapsing Foot Deformity.

作者信息

Obey Mitchel R, Johnson Jeffrey E, Backus Jonathon D

机构信息

Department of Orthopaedic Surgery, Washington University in St. Louis, 660 S Euclid Ave CB8233 St. Loiuis, MO 63110, USA.

Department of Orthopaedic Surgery, Washington University in St. Louis, 660 S Euclid Ave CB8233 St. Loiuis, MO 63110, USA.

出版信息

Foot Ankle Clin. 2022 Jun;27(2):303-325. doi: 10.1016/j.fcl.2021.11.018. Epub 2022 May 11.

Abstract

Our understanding of the cause and principles of treatment of progressive collapsing foot deformity (PCFD) has significantly evolved in recent decades. The goals of treatment remain improvement in symptoms, correction of deformity, maintenance of joint motion, and return of function. Although notable advancements in understanding the deformity have been made, complications still occur and typically result from (1) poor decision making, (2) technical errors, and (3) patient-related conditions. In this article, we discuss common surgical modalities used in the treatment of PCFD and further highlight the common complications that occur and the techniques that can be used to prevent them.

摘要

近几十年来,我们对进行性足塌陷畸形(PCFD)的病因及治疗原则的理解有了显著进展。治疗目标仍然是改善症状、矫正畸形、维持关节活动度以及恢复功能。尽管在理解该畸形方面已取得显著进展,但并发症仍会出现,且通常源于(1)决策不当,(2)技术失误,以及(3)与患者相关的状况。在本文中,我们讨论了用于治疗PCFD的常见手术方式,并进一步强调了所出现的常见并发症以及可用于预防这些并发症的技术。

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