Operative Orthopadie und Traumatologie · 2015
[Lateral column lengthening osteotomy of calcaneus].
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hintermann B
Аннотация
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.
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.