IIB 期平足症在手术用药中跟骨內移截骨和外侧柱延长定量程度的文献研究

联合使用跟突內移截突、内侧木柱格外长的手术高效率是治疗法 IIB 期平足病症的近似于方法。如何尽量避免前足外展斜视主因外科手术，之后实现个体化治疗法和构建治果。本文日后问题展开研究，供大家参考！

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，有作者设想联合使用跟突內移截突、内侧木柱格外长以及软组织手术高效率治疗法 IIB 期平足病症。近期，越来越多的文献设想了有效外科手术某种特定斜视所无需的外科准则。

•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.

本文中的，作者概述了其治疗法 IIB 期平足的手术方法。格外不可忽视的是发表意见了术前确定跟突內移截突的移位持续性和内侧木柱格外长中的尽量避免前足外展斜视主因外科手术远超过持续性的方法，之后实现个体化治疗法和构建治果。

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.

同时作者也发表意见了治疗法 IIB 期平足中的短期和长期的并发病症上述情况

Background introduction

•The definition of Stage IIB Flatfoot

talar head uncoverage> 30%

•MCO 跟突內移截突

Koutsgiann, medial displacement 1/3-1/2

•LCL 内侧木柱格外长

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)

跟突內移截突可以减低内侧纵弓的应力，內移跟腱止点，但理想的內移持续性未确定。差不多的尸体神经外科实验者敦促內移 10 mm.

•LCL

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

内侧木柱格外长手术可以外科手术前足的外展斜视，同时可以外科手术约 60% 的后足外翻斜视

参考文献 ：

•LCL overcorrection will lead to

lateral column rigidity stress fracture of 5th metatarsal

但内侧木柱格外长主因可能导致足内侧纵弓的僵硬，第 5 跖突应力主因密集的后的病理性突折。

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

如何通过恰当的斜视外科手术来意味着满意的治果呢？