Rathjen K E, Mubarak S J
Children's Hospital, San Diego, CA 92123, USA.
J Pediatr Orthop. 1998 Nov-Dec;18(6):775-82.
We performed combination calcaneal-cuboid-cuneiform osteotomies in 18 patients (26 feet) with severe valgus foot deformity. The operation consists of a sliding calcaneal osteotomy, an opening-wedge cuboid osteotomy, and a pronation, plantar flexion closing-wedge osteotomy of the medial cuneiform in addition to appropriate soft-tissue releases. The preoperative goals of restoring the axis of the foot parallel to the axis of progression and relieving pain, as well as shoe, brace, and skin problems, were met in 23 of the 24 feet available for review at an average of 18 months after surgery. This procedure has the advantage of localized correction of deformity without the problems associated with arthrodesis.
我们对18例（26足）重度足外翻畸形患者实施了跟骨 - 骰骨 - 楔骨联合截骨术。该手术除了适当的软组织松解外，还包括跟骨滑动截骨术、骰骨开口楔形截骨术以及内侧楔骨的旋前、跖屈闭合楔形截骨术。在术后平均18个月可供评估的24只足中，有23只足实现了术前恢复足轴与前进轴平行、缓解疼痛以及解决鞋子、支具和皮肤问题的目标。该手术具有局部矫正畸形的优点，且不存在与关节融合相关的问题。
