Mazzotti Antonio, Sgubbi Federico, Arceri Alberto, Di Paola Gianmarco, Artioli Elena, Zielli Simone Ottavio, Marcucci Lorenzo, Guindani Nicola, Faldini Cesare, De Pellegrin Maurizio
1st Orthopaedics and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, 40123 Bologna, Italy.
Children (Basel). 2025 Jun 12;12(6):760. doi: 10.3390/children12060760.
: Skewfoot, also known as Z-foot, is a rare and complex deformity characterized by a combination of forefoot adduction and hindfoot valgus, resulting in a "Z" shape. Due to its rarity, diagnostic criteria and standardized treatment guidelines are lacking. This scoping review aims to systematically map and summarize the current knowledge regarding skewfoot. : A comprehensive literature search of the PubMed, Cochrane Library, and Scopus databases was conducted to identify relevant articles. Patient-specific data were meticulously extracted from eligible studies and analyzed in detail. : A total of 12 studies met the inclusion criteria. Each study was independently reviewed, and data on epidemiology, etiology, clinical presentation, imaging assessment, and treatment options were extracted. : The true incidence of skewfoot remains unknown. Etiology is likely multifactorial, often associated with systemic and neurological disorders. Skewfoot management ranges from conservative approaches to surgery. A medial cuneiform opening wedge osteotomy is the most used technique; however, the frequent need for additional procedures emphasizes the complexity of the deformity and the importance of a personalized approach.
斜足，也称为Z形足，是一种罕见且复杂的畸形，其特征为前足内收和后足外翻相结合，形成“Z”形。由于其罕见性，缺乏诊断标准和标准化治疗指南。本范围综述旨在系统梳理和总结关于斜足的现有知识。：对PubMed、Cochrane图书馆和Scopus数据库进行了全面的文献检索，以识别相关文章。从符合条件的研究中精心提取患者特定数据并进行详细分析。：共有12项研究符合纳入标准。对每项研究进行独立评审，并提取有关流行病学、病因、临床表现、影像学评估和治疗选择的数据。：斜足的真实发病率仍然未知。病因可能是多因素的，常与全身性和神经系统疾病相关。斜足的治疗方法从保守治疗到手术治疗不等。内侧楔骨开放楔形截骨术是最常用的技术；然而，频繁需要额外的手术强调了畸形的复杂性和个性化治疗方法的重要性。
