Laterale Verl?ngerungsosteotomie des Kalkaneus

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• 作者：Prof. Dr. B. Hintermann
• 关键词：Sprunggelenk ; Kalkaneusverl?ngerungsosteotomie ; Pes plano ; valgus et abductus ; Plattfu? ; Tibialis ; posterior ; Sehnendysfunktion ; Ankle joint ; Calcaneal lengthening osteotomy ; Pes plano valgus et abductus ; Flatfoot ; Posterior tibial tendon dysfunction
• 刊名：Operative Orthop?die und Traumatologie
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：27
• 期：4
• 页码：298-307
• 全文大小：3,123 KB
• 参考文献：1.Evans DC (1975) Calcaneo-valgus deformity. J Bone Joint Surg Br 57:270-78PubMed
  2.Hintermann B et al (1999) Lengthening of the lateral column and reconstruction of the medial soft tissue for the treatment of acquired flatfoot deformity associated with insufficiency of posterior tibial tendon. Foot Ankle Int 20:622-29View Article PubMed
  3.Hintermann B et al (1999) Anteriore Kalkaneuverl?ngerungsosteotomie und mediale Weichteilrekonstruktion zur Behandlung der schweren Tibialis posterior-Sehnendysfunktion. Technik und pr?limin?re Resultate. Orthop?de 28:760-69PubMed
  4.Myerson MS (1996) Adult acquired flatfoot deformity. J Bone Joint Surg Am 78:780-92
  5.Gellman H et al (1987) Selective tarsal arthrodesis: an in vitro analysis of the effect on foot motion. Foot Ankle 8:127-33View Article PubMed
  6.Momberger N et al (2000) Calcaneocuboid joint pressure after lateral column lengthening in a cadaveric planovalgus deformity model. Foot Ankle Int 21(9):730-35PubMed
  
• 作者单位：Prof. Dr. B. Hintermann (1)
  
  1. Klinik für Orthop?die und Traumatologie des Bewegungsapparates, Kantonsspital Baselland, Rheinstrasse 26, 4410, Liestal, Schweiz
  
• 刊物主题：Surgical Orthopedics; Traumatic Surgery;
• 出版者：Springer Berlin Heidelberg
• ISSN：1439-0981

文摘

Objective Lengthening of the lateral column for adduction of forefoot and restoration of the medial arch. Stabilization of the ankle joint complex. Indications Supple flatfoot deformity (posterior tibial tendon dysfunction stage?II). Instability of the medial ankle joint complex (superficial deltoid and spring ligament). Posttraumatic valgus and pronation deformity of the foot. Contraindications Rigid flatfoot deformity (posterior tibial tendon dysfunction stage?III and IV). Talocalcaneal and naviculocalcaneal coalition. Osteoarthritis of calcaneocuboid joint. Surgical technique Exposition of calcaneus at sinus tarsi. Osteotomy through sinus tarsi and widening until desired correction of the foot is achieved. Insertion of bone graft. Screw fixation. Postoperative management Immobilization in a cast for 6?weeks. Weight-bearing as tolerated from the beginning. Results In the majority of cases, part of hindfoot reconstruction. Reliable and stable correction. Safe procedure with few complications.