King's Foot and Ankle Unit, King's College Hospital NHS Foundation Trust, London SE5 9RS, UK.
King's Foot and Ankle Unit, King's College Hospital NHS Foundation Trust, London SE5 9RS, UK.
Foot Ankle Clin. 2023 Dec;28(4):709-718. doi: 10.1016/j.fcl.2023.05.002. Epub 2023 Jun 26.
Percutaneous correction of cavus foot deformity can be achieved with satisfactory correction of foot anatomy and biomechanics. Surgical management of cavovarus foot reconstruction is an individualized combination of surgical procedures designed to correct deformity. Minimally invasive procedures using high-torque low-speed burr can facilitate large deformity correction without extensive soft tissue stripping. This article presents the operative technique for percutaneous cavus foot correction including a lateralizing calcaneal osteotomy and proximal first ray osteotomy. However, methodologically robust evidence to support this procedure is lacking at present, and further research, particularly, focusing on long-term clinical outcomes and follow-up is required.
经皮矫正足弓畸形可满意地矫正足的解剖和生物力学。对于足内翻畸形的重建,手术治疗是根据不同患者畸形特点设计的个体化的联合手术方案。采用高扭矩低速磨钻的微创手术可以在不广泛剥离软组织的情况下实现大畸形矫正。本文介绍了经皮矫正足弓畸形的手术技术,包括外侧跟骨截骨术和第一跖骨近端截骨术。然而,目前缺乏支持该手术的方法学上稳健的证据,需要进一步的研究,特别是关注长期的临床结果和随访。