重新组建适用跟肩胛骨內移截肩胛骨、侧边石柱缩短的移植手术关键技术是治疗法 IIB 期平足性疾病的常用工具。如何尽量避免前足外展病变过份纠正，再次借助于有意识治疗法和建模治果。本文就此问题落幕科学研究，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 六十年代起，有作者重申重新组建适用跟肩胛骨內移截肩胛骨、侧边石柱缩短以及结节移植手术关键技术治疗法 IIB 期平足性疾病。近年，越来越多的史料重申了必需纠正某种特定病变所均需的专业知识标准。
•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，作者介绍了其治疗法 IIB 期平足的移植手术工具。非常重要的是辩论了术前相符跟肩胛骨內移截肩胛骨的分块素质和侧边石柱缩短之中尽量避免前足外展病变过份纠正最大者素质的工具，再次借助于有意识治疗法和建模治果。
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.
同时作者也辩论了治疗法 IIB 期平足之中短期和长年的并发性疾病情况
Background introduction
•The definition of Stage IIB Flatfoot
talar head uncoverage> 30%
•MCO 跟肩胛骨內移截肩胛骨
Koutsgiann, medial displacement 1/3-1/2
•LCL 侧边石柱缩短
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)
跟肩胛骨內移截肩胛骨可以降低内侧纵弓的应力，內移跟腱止点，但即使如此的內移素质已经相符。仅有的尸体药理学测试建议內移 10 mm.
•LCL
forefoot abduction reduction hindfoot valgus correction (up to 60%)
侧边石柱缩短移植手术可以纠正前足的外展病变，同时可以纠正约 60% 的后足外翻病变
参考史料 ：
•LCL overcorrection will lead to
lateral column rigidity stress fracture of 5th metatarsal
但侧边石柱缩短过份可能随之而来足侧边纵弓的凌乱，第 5 跖肩胛骨应力过份集之中后的病理性肩胛骨折。
•What is the optimal correction that guarantee a satisfactory result?
如何通过恰当的病变纠正来应有满意的治果呢？
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