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DOI: 10.1055/s-0044-1793823
Pé plano valgo adquirido: Conceitos atuais – “Do pé plano valgo adquirido do adulto à deformidade colapsante progressiva do pé”
Artikel in mehreren Sprachen: português | EnglishSuporte Financeiro RZ declara suporte para este manuscrito da International Society of Thrombosis and Haemostasis. CCN declara bolsas ou contratos da bolsa de pesquisa da Paragon 28, OREF, e University of Iowa; royalties ou licensas da Paragon 28, Medartis e Extremity Medical; taxas de consultoria para a Paragon 28, Zimmer-Biomet, Medartis e Stryker; pagamentos recebidos da Extremity Medical e da Artelon; pagamentos ou honorários recebidos da Paragon 28, Zimmer-Biomet, Medartis e Stryker; pagamentos recebidos da Artelon; pagamento por depoimento de especialista para a Stryker e a Paragon 28; apoio por comparecer a reuniões e/ou viagens da CurveBeam, Paragon 28, Zimmer-Biomet e Stryker; liderança ou papel fiduciário na Foot and Ankle Clinics como editor-chefe, membro dos comitês da AOFAS e da AAOS, pagamentos recebidos da FAI como membro do Comitê de Mídia e vice-presidente da International Weight Bearing CT Society; e ações ou opções da CurveBeam AI e da Tayco Brace.
Resumo
O distúrbio clínico tradicionalmente conhecido como pé plano valgo por insuficiência do tendão tibial posterior ou pé plano valgo adquirido do adulto tem sido objeto de diversas publicações nas últimas duas décadas, e entende-se agora que o problema não está no tendão tibial posterior em si, pois o distúrbio pode ocorrer até mesmo sem a lesão desse tendão. Estudos trouxeram novos conceitos e entendimentos que questionaram o olhar sobre o tema, o que culminou na substituição das classificações existentes por uma que fosse mais assertiva e discriminativa dos possíveis padrões de apresentação da deformidade. Além disso, também propôs-se a mudança da nomenclatura para “deformidade colapsante progressiva do pé” (DCPP; progressive collapsing foot deformity, PCFD, em inglês).
Quanto ao tratamento cirúrgico, ainda persiste o conceito de abordagem à la carte, com ênfase no realinhamento dos eixos, o que pode ser obtido por meio de osteotomias, artrodeses e equilíbrio de partes moles, que consiste em transposições/reparos tendinosos e reconstrução de estruturas ligamentares, sobretudo do complexo ligamentar deltoide e do ligamento mola.
Publikationsverlauf
Eingereicht: 08. September 2023
Angenommen: 06. November 2023
Artikel online veröffentlicht:
21. Dezember 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Referências
- 1 Johnson KA, Strom DE. Tibialis posterior tendon dysfunction. Clin Orthop Relat Res 1989; ; ( (239) 196-206
- 2 Myerson MS. Adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendon. Instr Course Lect 1997; 46: 393-405
- 3 Bluman EM, Title CI, Myerson MS. Posterior tibial tendon rupture: a refined classification system. Foot Ankle Clin 2007; 12 (02) 233-249 , v
- 4 Li S, Zhu M, Gu W. et al. Diagnostic Accuracy of the Progressive Collapsing Foot Deformity (PCFD) Classification. Foot Ankle Int 2022; 43 (06) 800-809
- 5 Deland JT, de Asla RJ, Sung IH, Ernberg LA, Potter HG. Posterior tibial tendon insufficiency: which ligaments are involved?. Foot Ankle Int 2005; 26 (06) 427-435
- 6 Schlickewei C, Barg A. Calcaneal Osteotomies in the Treatment of Progressive Collapsing Foot Deformity. What are the Restrictions for the Holy Grail?. Foot Ankle Clin 2021; 26 (03) 473-505
- 7 Myerson MS, Thordarson DB, Johnson JE. et al. Classification and Nomenclature: Progressive Collapsing Foot Deformity. Foot Ankle Int 2020; 41 (10) 1271-1276
- 8 Brodell Jr JD, MacDonald A, Perkins JA, Deland JT, Oh I. Deltoid-Spring Ligament Reconstruction in Adult Acquired Flatfoot Deformity With Medial Peritalar Instability. Foot Ankle Int 2019; 40 (07) 753-761
- 9 Barg A, Amendola RL, Henninger HB, Kapron AL, Saltzman CL, Anderson AE. Influence of Ankle Position and Radiographic Projection Angle on Measurement of Supramalleolar Alignment on the Anteroposterior and Hindfoot Alignment Views. Foot Ankle Int 2015; 36 (11) 1352-1361
- 10
de Cesar Netto C,
Myerson MS,
Day J.
et al.
Consensus for the Use of Weightbearing CT in the Assessment of Progressive Collapsing
Foot Deformity. Foot Ankle Int 2020; 41 (10) 1277-1282
MissingFormLabel
- 11 de Cesar Netto C, Silva T, Li S. et al. Assessment of Posterior and Middle Facet Subluxation of the Subtalar Joint in Progressive Flatfoot Deformity. Foot Ankle Int 2020; 41 (10) 1190-1197
- 12 Lintz F, Welck M, Bernasconi A. et al. 3D Biometrics for Hindfoot Alignment Using Weightbearing CT. Foot Ankle Int 2017; 38 (06) 684-689
- 13 de Cesar Netto C, Bang K, Mansur NS. et al. Multiplanar Semiautomatic Assessment of Foot and Ankle Offset in Adult Acquired Flatfoot Deformity. Foot Ankle Int 2020; 41 (07) 839-848
- 14 de Cesar Netto C, Deland JT, Ellis SJ. Guest Editorial: Expert Consensus on Adult-Acquired Flatfoot Deformity. Foot Ankle Int 2020; 41 (10) 1269-1271
- 15 Griner PF, Mayewski RJ, Mushlin AI, Greenland P. Selection and interpretation of diagnostic tests and procedures. Principles and applications. Ann Intern Med 1981; 94 (4 Pt 2): 557-592
- 16 Bossuyt PM, Reitsma JB, Bruns DE. et al; Standards for Reporting of Diagnostic Accuracy. Toward complete and accurate reporting of studies of diagnostic accuracy. The STARD initiative. Am J Clin Pathol 2003; 119 (01) 18-22
- 17 Lee HY, Barbachan Mansur NS, Lalevée M. et al; Progressive Collapsing Foot Deformity Consensus Group. Intra- and Interobserver Reliability of the New Classification System of Progressive Collapsing Foot Deformity. Foot Ankle Int 2022; 43 (04) 582-589
- 18 Herchenröder M, Wilfling D, Steinhäuser J. Evidence for foot orthoses for adults with flatfoot: a systematic review. J Foot Ankle Res 2021; 14 (01) 57
- 19 Lintz F, de Cesar Netto C. Is Advanced Imaging a Must in the Assessment of Progressive Collapsing Foot Deformity?. Foot Ankle Clin 2021; 26 (03) 427-442
- 20
C Schon L,
de Cesar Netto C,
Day J.
et al.
Consensus for the Indication of a Medializing Displacement Calcaneal Osteotomy in
the Treatment of Progressive Collapsing Foot Deformity. Foot Ankle Int 2020; 41 (10)
1282-1285
MissingFormLabel
- 21 Chien BY, Greisberg JK, Arciero E. Spring Ligament Reconstruction for Progressive Collapsing Foot Deformity: Contemporary Review. Foot Ankle Int 2023; 44 (08) 796-809
- 22 Krautmann K, Kadakia AR. Spring and Deltoid Ligament Insufficiency in the Setting of Progressive Collapsing Foot Deformity. An Update on Diagnosis and Management. Foot Ankle Clin 2021; 26 (03) 577-590
- 23 Obey MR, Johnson JE, Backus JD. Managing Complications of Foot and Ankle Surgery: Reconstruction of the Progressive Collapsing Foot Deformity. Foot Ankle Clin 2022; 27 (02) 303-325
- 24 Nery C, Lemos AVKC, Raduan F, Mansur NSB, Baumfeld D. Combined Spring and Deltoid Ligament Repair in Adult-Acquired Flatfoot. Foot Ankle Int 2018; 39 (08) 903-907
- 25 De Cesar Netto C, Ahrenholz S, Iehl C. et al. Lapicotton technique in the treatment of progressive collapsing foot deformity. J Foot Ankle 2020; 14 (03) 301-308
- 26 Gross CE, Jackson 3rd JB. The Importance of the Medial Column in Progressive Collapsing Foot Deformity: Osteotomies and Stabilization. Foot Ankle Clin 2021; 26 (03) 507-521
- 27 Estes W, Syal A, Latt LD. Biomechanical Effects of Surgical Reconstruction for Flexible Progressive Collapsing Foot Deformity: A Systematic Review. [published online ahead of print, 2022 Dec 13 ] Foot Ankle Spec 2022;•••:19386400221139335