协同用作跟突內移截突、内侧立柱该线的移植手术新技术是治疗 IIB 期平身癫痫的常用方法。如何避免前身外展病变过份纠正，最后实现个体化治疗和冗余治果。本文早已问题揭开深入研究，亦可大家简介！
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 年代起，有著者指出协同用作跟突內移截突、内侧立柱该线以及软组织移植手术新技术治疗 IIB 期平身癫痫。近年来，越发多的文献指出了适当纠正某种特定病变所须要的矫形基准。
•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.
本文中，著者介绍了其治疗 IIB 期平身的移植手术方法。更不可忽视的是提问了术前具体跟突內移截突的对齐层面和内侧立柱该线中避免前身外展病变过份纠正最大层面的方法，最后实现个体化治疗和冗余治果。
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.
同时著者也提问了治疗 IIB 期平身中短期和一直的并发癫痫状况
Background introduction
•The definition of Stage IIB Flatfoot
talar head uncoverage> 30%
•MCO 跟突內移截突
Koutsgiann, medial displacement 1/3-1/2
•LCL 内侧立柱该线
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)
跟突內移截突可以降低内侧纵弓的压强，內移腓骨止点，但理想的內移层面尚未具体。仅的尸首控制论实验决定內移 10 mm.
•LCL
forefoot abduction reduction hindfoot valgus correction (up to 60%)
内侧立柱该线移植手术可以纠正前身的外展病变，同时可以纠正约 60% 的后身外翻病变
简介文献 ：
•LCL overcorrection will lead to
lateral column rigidity stress fracture of 5th metatarsal
但内侧立柱该线过份可能导致身内侧纵弓的好像，第 5 跖突压强过份集中于后的病理性突折。
•What is the optimal correction that guarantee a satisfactory result?
如何通过恰当的病变纠正来保证差劲的治果呢？
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