Nonoperative treatment of adult acquired flat foot with the Arizona brace.
Nonoperative treatment of adult acquired flat foot with the Arizona brace.
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DOI：
10.1016/s1083-7515(03)00036-6
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发表时间：
2003-09-01
影响因子：
1.5
通讯作者：
Johnson, Jeffrey E
中科院分区：
文献类型：
--
作者：
Augustin, Jeffrey F;Lin, Sheldon S;Johnson, Jeffrey E
使用亚利桑那AFO支具非手术治疗胫后肌腱功能障碍是成功的，特别是在疾病早期就开始治疗时。这就要求骨科医生在评估病人时要有很高的怀疑指数，才能做出准确的诊断。虽然对获得性扁平足有手术治疗的作用，但一个合身的、定制的皮革和聚丙烯矫形器可以有效地缓解症状，避免或延迟任何手术干预。在当今以患者满意度为导向的医疗保健环境中，一种减轻疼痛的侵入性较小的治疗方式可能比手术后获得的类似疼痛缓解更有价值。关于支撑的长期效果的问题仍然没有答案。未来的研究需要确定疾病进展和关节病是否发生，尽管使用支具缓解了症状。此外，年龄和疾病阶段相匹配的对照组随机接受手术或支具是比较这些不同治疗方式的必要条件。在这个时候，亚利桑那AFO支架可以是一个有用的武器，在骨科医生的装备治疗获得性平足畸形。
Nonoperative treatment of posterior tibial tendon dysfunction can be successful with the Arizona AFO brace, particularly when treatment is initiated in the early stages of the disease. This mandates that the orthopedist has a high index of suspicion when evaluating patients to make an accurate diagnosis. Although there is a role for surgical management of acquired flat feet, a well-fitted, custom-molded leather and polypropylene orthosis can be effective at relieving symptoms and either obviating or delaying any surgical intervention. In today's climate of patient satisfaction directed health care, a less invasive treatment modality that relieves pain may prove to be more valuable than similar pain relief that is obtained after surgery. Questions regarding the long-term results of bracing remain unanswered. Future studies are needed to determine if disease progression and arthrosis occur despite symptomatic relief with a brace. Furthermore, age- and disease stage-matched control groups who are randomized to undergo surgery or bracing are necessary to compare these different treatment modalities. At this time, the Arizona AFO brace can be a useful weapon in the orthopedist's armamentarium for treating acquired flat foot deformity.