成人获得性平足症的相关研究及进展

Research progress of adult-acquired flatfoot deformity

目的 总结成人获得性平足症的研究进展,为临床成人获得性平足症的诊断、治疗、预防提供理论依据.方法 分别以＂成人获得性平足症＂为关键词在万方数据库和以＂acquired adult flatfoot＂为关键词在PubMed数据库检索1985年1月—2017年1月与成人获得性平足症的解剖因素、发病原因及手术治疗相关文献并对其分析总结.结果 成人获得性平足症主要表现为足部骨性结构和软组织因素共同导致的足纵弓的塌陷或消失,胫后肌腱功能不全为其最常见的发病原因.若经保守治疗病情未缓解,需外科手术阻止病情进一步发展.结论 成人获得性平足症的诊治需结合发病原因、疾病分期等相关因素,对不同的患者制定个体化治疗方案.

Objective To summarize the progress of adult acquired flatfoot for providing a theoretical basis for the clinical diagnosis , treatment and prevention.Methods Using ＆quot; adult acquired flatfoot＆quot; as a keyword in WanFang database and PubMed database to identify the articles about adult acquired flatfoot in anatomy, etiology and surgical treatment published from January 1985 to January 2017, and summarize the results.Results Adult acquired flatfoot mainly refers to the bony structure of the foot and soft tissue factors lead to foot longitudinal arch collapse or disappear .Posterior tibial tendon dysfunction is the most common cause of the disease .If conservative treatment has not relieved , surgery is needed to prevent the further development of the disease .Conclusions The diagnosis and treatment of adult acquired flatfoot deformity should be treated individually based on etiology , disease stage and other factors for different patients.