医学
软组织
脚踝
距下关节
外科
肌腱
阶段(地层学)
畸形
肌腱转移
截骨术
病因学
口腔正畸科
生物
精神科
古生物学
作者
Aleksandar Lešić,Henry Dushan Atkinson,Slaviša Zagorac,Marko Bumbaširević
出处
期刊:Acta Chirurgica Iugoslavica
[National Library of Serbia]
日期:2013-01-01
卷期号:60 (1): 21-28
摘要
Symptomatic acquired flatfoot is an important orthopaedic problem, due to progressive loss of whole foot function and the increasing problem of patient disability. It is a complex entity, involving the tibialis posterior tendon, ankle joint, hindfoot and midfoot. In most cases the posterior tibial tendon (PTT) is the root cause of acquired flat foot, but there are other contributions and many different factors have an influence. The clinical picture varies depending on the stage of the deformity, as well as the treatment approach. Initially soft tissue procedures, synoviectomy and augmentation of the PTT are advised. In stage 2, lateral column lengthening and calcaneal osteotomy, with soft tissue -tendon transfers (TA, FHL, FDL) are recommended. In stage 3 subtalar, double or triplearthodesis is preferable, while in stage 4 pantalar fusion is indicated. In the article more detailed etiology, the clinical picture, diagnosis and modalities of treatment are presented.
科研通智能强力驱动
Strongly Powered by AbleSci AI