Delagoutte J P, Mainard D
Service de chirurgie orthopédicue et traumatique, CHU de Nancy, Hôpital Central.
Rev Prat. 1997 Jan 1;47(1):32-6.
The flat foot is a very frequent cause of consultation in podology. The lesion is rapidly fixed, and osteoarthrosis appears. The diagnosis is clinical. A podoscopic and radiographic examination is necessary to appreciate the evolutivity of the deformity. The treatment is almost conservative: the wearing of orthesis is often sufficient. The indications of the surgery are rare; sometimes it is possible to do plastic techniques (in particular on the posterior tibial tendon) but, when the foot is painful, the osteoarthrosis is present and it is necessary to do arthrodesis, in particular in the talonavicular joint.
扁平足是足病学中非常常见的就诊原因。病变发展迅速，继而出现骨关节炎。诊断依靠临床症状。需要进行足镜和影像学检查以评估畸形的发展情况。治疗几乎都是保守治疗：佩戴矫形器通常就足够了。手术指征很少见；有时可以采用整形技术（特别是针对胫后肌腱），但是当足部疼痛、存在骨关节炎且有必要进行关节融合术时，尤其是距舟关节。
