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胫后肌腱功能不全（PTTD, Posterior Tibial Tendon Dysfunction），虽然是胫后肌腱疾病，但是伴有多种足与踝的畸形。病理变化不仅限于胫后肌腱，还有足弓的改变。主要症状包括：踝关节内侧疼痛、肿胀，足弓降低引起平足，无力，以及不能踮足站立。如保守治疗无效，推荐进行手术。 警告：请在有WIFI的场所观看视频，土豪请随意。 A Patient's Guide To Posterior Tibial Tendon Dysfunction 胫后肌腱功能障碍病人指南 The posterior tibial tendon connects at the calf travels around the ankle joint and attatches to the bones in the midfoot. It maitains the arch in your foot and provides stability. 胫后肌腱自小腿下行，穿过踝关节旁，附着于中足的骨头，维持足弓，提供稳定性。 The tendon may become inflamed or torn, as a result of sports injury, obesity, or certain medical conditions. 胫后肌腱因运动损伤、肥胖或某些疾病可能发炎或撕裂。 Problems with this tendon are more common in women. 胫后肌腱疾患在女性较多见。 Posterior tibial tendon dysfunction can cause pain, swelling in the inside of the ankle. It reduces arch, and flatfoot, weakness, and inability to stand on toes. 胫后肌腱功能障碍会引起踝关节内侧疼痛、肿胀，降低足弓引起平足，无力，以及不能踮足站立。 When conservative treatment fail, surgery may be recommended. 当保守治疗无效时，推荐进行手术。 There are several types of surgery, and you maybe need more than one procedure. 手术方式有很多种，您可能需要不止一种手术。 Surgery is used to remove the inflamed tissue, improve the position of the heel bone, transfer another tendon for repair, or fuse bones together to prevent movement and add stability. 手术是去除炎症组织，改善跟骨的位置，用其它肌腱转位来修复，或将骨头融合在一起，以阻止活动，增加稳定性。 Let's take a look at tendon transfer surgery. 让我们来看看肌腱转位手术。 To begin, an incision is made at the inside of the foot and ankle. The damaged tendon is then identified. Imflamed tissue may be removed.Adjacent tendon is remove to replace the function of the damaged posterior tibial tendon. The incision is then closed and bandaged. 首先，在足和踝的内侧作一切口。辨认受损的肌腱，将炎症组织去除。相邻的肌腱移位代替受损的胫后肌腱。最后关闭切口并包扎。 Following your surgery, you may need to wear protective splint, cast or boot. 术后，需要用夹板、石膏或靴子进行保护。 Rehabilitation exercises can help you regain strength and mobility. You may need to walk with a cane or crutches at first. The amount of weight that you can bear will be gradually increased. Your doctor may recommend orthopeadic shoes or customized inserts. 康复锻炼有助于您恢复力量和活动能力。起初，您需要用手杖或拐杖辅助行走，承重量逐步增加。医生会推荐使用矫形鞋或定制的插片。 Recovery varies from person to person, and depends on the extent of your condition and procedures that were performed. Your doctor will let's you know what's to expect. 恢复因人而异，取决于病情和所做的手术。医生会告诉您预后如何。 （胡佰文 听译） 精彩视频魅力无限，收藏转发一起分享 您的每一次打开，都会有精彩的内容 您的每一次留言，都会有满意的答复 您的每一次点赞，都是对我们的肯定 您的每一次分享，都是对我们的鼓励 世界多姿多彩 感谢有您相伴 本公众号今后推送的文章关闭赞赏功能 如果觉得文章不错，您可以选择： 1.为作者点个赞 2.点击下方的广告 |
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