距下关节
医学
跗骨关节
畸形
关节融合术
口腔正畸科
足畸形
备品备件
外科
脚踝
病理
业务
营销
替代医学
作者
Matthew S. Conti,Scott J. Ellis
标识
DOI:10.1016/j.fcl.2021.05.005
摘要
Surgical management of progressive collapsing foot deformity continues to evolve. Previous studies have demonstrated that fusion of the talonavicular joint results in limited hindfoot motion and, therefore, may accelerate adjacent-joint arthrosis. Recent literature has supported using alternative arthrodesis constructs that spare the talonavicular joint, such as naviculocuneiform or isolated subtalar fusions, which may maintain some hindfoot motion through the talonavicular joint yet adequately address a patient's deformity. Concomitant reconstructive procedures may be used in addition to subtalar fusion to address severe deformities. Isolated subtalar fusions may be considered in cases of sinus tarsi or subfibular impingement deformities.
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