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胫后肌腱断裂导致扁平足。手术治疗。

Rupture of the posterior tibial tendon causing flat foot. Surgical treatment.

作者信息

Mann R A, Thompson F M

出版信息

J Bone Joint Surg Am. 1985 Apr;67(4):556-61.

PMID:3980501
Abstract

Rupture of the posterior tibial tendon results in a progressive, painful flat-foot deformity. Other physical findings are an inability to invert the heel on tip-toe standing and loss of inversion power. In this study we report on seventeen patients with this condition who were surgically treated with a transfer of the flexor digitorum longus tendon into the navicular or an advancement of the posterior tibial tendon. Follow-up results were excellent in twelve, good in one, fair in three, and poor in one patient. Arthrodesis of the talonavicular and calcaneocuboid joints was subsequently done for the patient with the poor result.

摘要

胫后肌腱断裂会导致逐渐加重的疼痛性扁平足畸形。其他体格检查结果包括踮脚尖站立时足跟无法内翻以及内翻力量丧失。在本研究中,我们报告了17例患有这种疾病的患者,他们接受了手术治疗,将趾长屈肌腱转移至舟骨或推进胫后肌腱。随访结果为12例优秀,1例良好,3例尚可,1例差。随后,对结果差的患者进行了距舟和跟骰关节融合术。

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