伴有踝关节不稳的卡沃内足重建技术

IF 0.2 Q4 ORTHOPEDICS
Todd A. Irwin MD
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引用次数: 1

摘要

表现为踝关节外侧韧带不稳的患者需要对其进行足畸形评估。为了确保踝关节失稳手术的成功,可能需要进行卡沃内翻重建。需要采用哪种手术将取决于具体的畸形,并且可能需要在术中确定,这取决于通过第一次手术实现的初始畸形矫正。一般但不严格的手术顺序算法包括首先软组织释放,然后是后脚矫正,然后是前脚矫正,最后一步是固定韧带重建或肌腱转移。肌腱转移可以是一个有效的工具,以帮助在畸形矫正和几个描述。对于后脚和前脚畸形矫正,传统的跟跖截骨术效果良好,但对于退行性变关节或畸形严重或仅靠截骨术无法矫正的情况,应考虑融合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Techniques for Cavovarus Foot Reconstruction with Concomitant Ankle Instability

Patients who present with lateral ankle ligament instability always need to be evaluated for cavovarus foot deformity. Cavovarus reconstruction may need to be performed in order to ensure the ankle instability procedure is successful. Which procedures are required will depend on the specific deformity present, and may need to be determined intraoperatively depending on the initial deformity correction achieved through the first procedures performed. A general though not strict algorithm for sequence of procedures involves soft tissue releases first, followed by hindfoot correction, then forefoot correction, and securing ligament reconstruction or tendon transfers as the final step. Tendon transfers can be an effective tool to aid in the deformity correction and several are described. For hindfoot and forefoot deformity correction, traditional calcaneus and metatarsal osteotomies work well, but fusion should be considered for joints with degenerative change or in cases where the deformity is severe or can't be corrected through osteotomy alone.

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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
40
审稿时长
83 days
期刊介绍: Operative Techniques in Orthopaedics is an innovative, richly illustrated resource that keeps practitioners informed of significant advances in all areas of surgical management. Each issue of this atlas-style journal explores a single topic, often offering alternate approaches to the same procedure. Its current, definitive information keeps readers in the forefront of their specialty.
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