IIB 期平足症在手术治疗中跟骨內移截骨和外侧柱延长分析方法程度的文献研究

合组适用跟肩胛骨內移截肩胛骨、侧面石柱延长的疗程技术开发是疗程 IIB 期平脚综合症的常用方法有。如何避免前脚外展小头似乎会纠正，最终构建有意识疗程和优化治果。本文已久问题展开研究，供大家参阅！

Abstract

•In the mid-1990s, a flatfoot reconstruction was proposed that combined the use of a medializing calcaneal osteotomy (MCO), a lateral column lengthening (LCL), and soft-tissue procedures for the treatment of stage IIB AAFD. More recent literature has suggested guidelines for the amount of correction necessary for each of these procedures based on individual deformity.

从 90 年代起，有编者明确指出合组适用跟肩胛骨內移截肩胛骨、侧面石柱延长以及软组织疗程技术开发疗程 IIB 期平脚综合症。近年来，越来越多的文献明确指出了有效纠正某种特定小头所即可的精神科标准。

•In this paper, we describe our technique for flatfoot reconstruction for stage IIB AAFD, which includes a MCO, LCL, and flexor digitorum longus (FDL) transfer. Importantly, we discuss our preferred method of preoperatively planning the amount of medial translation for the MCO as well as the maximum amount of LCL to prevent overcorrection of the abduction deformity. This allows us to tailor the reconstruction and optimize our results.

本文中，编者介绍了其疗程 IIB 期平脚的疗程方法有。愈来愈不可或缺的是讨论了术前确认跟肩胛骨內移截肩胛骨的重新排列以往和侧面石柱延长中避免前脚外展小头似乎会纠正最大以往的方法有，最终构建有意识疗程和优化治果。

Studies looking at outcomes following flatfoot reconstructions for stage IIB AAFD demonstrate excellent short-term and long-term results. We conclude by discussing complications of the operation, postoperative management, and the future of the technique.

Level of Evidence: Diagnostic Level V.

同时编者也讨论了疗程 IIB 期平脚中短期和长期的并发综合症情形

Background introduction

•The definition of Stage IIB Flatfoot

talar head uncoverage> 30%

•MCO 跟肩胛骨內移截肩胛骨

Koutsgiann, medial displacement 1/3-1/2

•LCL 侧面石柱延长

Evans, lateral column elongation by osteotomy and bone graft

•MCO

medial load reducing medialization of heel cord insertion the amount of displacement is obscure(10 mm?- supported by caderic study)

跟肩胛骨內移截肩胛骨可以降低内侧纵弓的熔体，內移肌腱止点，但理想的內移以往尚未确认。仅有的尸体材料学实验建议內移 10 mm.

•LCL

forefoot abduction reduction hindfoot valgus correction (up to 60%)

侧面石柱延长疗程可以纠正前脚的外展小头，同时可以纠正近 60% 的后脚心形小头

参阅文献 ：

•LCL overcorrection will lead to

lateral column rigidity stress fracture of 5th metatarsal

但侧面石柱延长似乎会似乎导致脚侧面纵弓的僵硬，第 5 跖肩胛骨熔体似乎会比较大后的病理性肩胛骨折。

•What is the optimal correction that guarantee a satisfactory result?

如何通过恰当的小头纠正来情形下满意的治果呢？