Adult-acquired flatfoot deformity

被引:183
作者
Deland, Jonathan T. [1 ,2 ]
机构
[1] Hosp Special Surg, New York, NY 10021 USA
[2] Foot & Ankle Serv, New York, NY USA
关键词
D O I
10.5435/00124635-200807000-00005
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Originally known as posterior tibial tendon dysfunction or insufficiency, adult-acquired flatfoot deformity encompasses a wide range of deformities. These deformities vary in location, severity, and rate of progression. Establishing a diagnosis as early as possible is one of the most important factors in treatment. Prompt early, aggressive nonsurgical management is important. A patient in whom such treatment fails should strongly consider surgical correction to avoid worsening of the deformity. In all four stages of deformity, the goal of surgery is to achieve proper alignment and maintain as much flexibility as possible in the foot and ankle complex. However, controversy remains as to how to manage flexible deformities, especially those that are severe.
引用
收藏
页码:399 / 406
页数:8
相关论文
共 31 条
[1]
Stage I and II posterior tibial tendon dysfunction treated by a structured nonoperative management protocol: An orthosis and exercise program [J].
Alvarez, RG ;
Marini, A ;
Schmitt, C ;
Saltzman, CL .
FOOT & ANKLE INTERNATIONAL, 2006, 27 (01) :2-8
[2]
Augustin Jeffrey F, 2003, Foot Ankle Clin, V8, P491, DOI 10.1016/S1083-7515(03)00036-6
[3]
Bohay Donald R, 2003, Foot Ankle Clin, V8, P619, DOI 10.1016/S1083-7515(03)00013-5
[4]
Surgical management of severe deformity resulting from posterior tibial tendon dysfunction [J].
Coetzee, JC ;
Hansen, ST .
FOOT & ANKLE INTERNATIONAL, 2001, 22 (12) :944-949
[5]
Cohen B E, 2001, Foot Ankle Clin, V6, P121, DOI 10.1016/S1083-7515(03)00085-8
[6]
Deland Jonathan T, 2006, HSS J, V2, P157, DOI 10.1007/s11420-006-9017-0
[7]
LATERAL COLUMN LENGTHENING WITH CALCANEOCUBOID FUSION - RANGE OF MOTION IN THE TRIPLE JOINT COMPLEX [J].
DELAND, JT ;
OTIS, JC ;
LEE, KT ;
KENNEALLY, SM .
FOOT & ANKLE INTERNATIONAL, 1995, 16 (11) :729-733
[8]
Posterior tibial tendon insufficiency: Which ligaments are involved? [J].
Deland, JT ;
de Asla, RJ ;
Sung, IH ;
Ernberg, LA ;
Potter, HG .
FOOT & ANKLE INTERNATIONAL, 2005, 26 (06) :427-435
[9]
Reconstruction of the chronically failed deltoid ligament: A new technique [J].
Deland, JT ;
de Asla, RJ ;
Segal, A .
FOOT & ANKLE INTERNATIONAL, 2004, 25 (11) :795-799
[10]
Posterior calcaneal osteotomy with wedge: Cadaver testing of a new procedure for insufficiency of the posterior tibial tendon [J].
Deland, JT ;
Page, AE ;
Kenneally, SM .
FOOT & ANKLE INTERNATIONAL, 1999, 20 (05) :290-295