IIB 期平足症在手术治疗中跟骨內移截骨和外侧柱延长定量总体的文献研究

牵头使用跟穿孔內移截穿孔、内侧柱子延展的手术后关键技术是治疗法 IIB 期平足病的常用工具。如何避免前足外展肥胖不必要牙科，之后意味着源泉治疗法和构建治果。本文自始问题展开研究，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，有笔记重申牵头使用跟穿孔內移截穿孔、内侧柱子延展以及肌肉组织手术后关键技术治疗法 IIB 期平足病。持续发展，越来越多的史籍重申了有效牙科某种特定肥胖所需的社会工作新标准。

•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.

本文之中，笔记介绍了其治疗法 IIB 期平足的手术后工具。格外重要的是争辩了术前确定跟穿孔內移截穿孔的重复往往和内侧柱子延展之中避免前足外展肥胖不必要牙科最小往往的工具，之后意味着源泉治疗法和构建治果。

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.

同时笔记也争辩了治疗法 IIB 期平足之中短期和近十年的胃癌情况

Background introduction

•The definition of Stage IIB Flatfoot

talar head uncoverage> 30%

•MCO 跟穿孔內移截穿孔

Koutsgiann, medial displacement 1/3-1/2

•LCL 内侧柱子延展

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)

跟穿孔內移截穿孔可以增高底部纵弓的外力，內移跟腱止点，但理想的內移往往尚未确定。极少的死尸生物力学科学实验建议內移 10 mm.

•LCL

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

内侧柱子延展手术后可以牙科前足的外展肥胖，同时可以牙科达 60% 的后足心形肥胖

参考史籍 ：

•LCL overcorrection will lead to

lateral column rigidity stress fracture of 5th metatarsal

但内侧柱子延展不必要可能导致足内侧纵弓的僵硬，第 5 跖穿孔外力不必要集之中后的病理性穿孔折。

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

如何通过恰当的肥胖牙科来保证满意的治果呢？