儿童柔韧性平足症的手术治疗进展

Progress in Surgical Treatment of Children with Flexible Flatfoot

平足畸形一般可分为柔韧性平足和僵硬性平足,在儿童中,柔韧性平足多见。无症状的柔韧性平足一般无需治疗,而有症状的柔韧性平足可以采取保守治疗和手术治疗。保守治疗无效的有症状的儿童柔韧性平足可以考虑手术治疗。国内外的文献报道中,儿童柔韧性平足治疗的术式繁多,涉及足踝部的软组织、骨性结构及关节。而关节制动术也逐渐推广。但总体而言,单一的手术无法有效矫正所有的畸形,一般都需联合手术治疗。因此,指导外科医师来合理选择术式是未来的研究方向之一。

Flatfoot can be divided into flexible and rigid type,and flexible type is more often seen in children. When the flexible flatfoot has no symptoms,it dosen＇t need treatment. Symptomatic flexible flatfoot can be given conservative treatment or surgical treatment. When the conservative treatment is invalid,surgery should be considered. In the literature at home and abroad,surgical treatment of children＇s flexible flatfoot has various procedures,involving the soft tissue,bone structure and joints of the ankle and foot. However,arthrorisis is gradually popularized. On the whole,a single operation cannot correct all the deformities effectively. It is generally required to be treated by a combined operation. Therefore,it is one of the research directions to guide the surgeons to choose the surgical procedure reasonably.