Research and clinical application progress of foot lengthening surgery.
10.7507/1002-1892.202505070
- Author:
Zhiyu WANG
1
;
Baozhou ZHANG
1
;
Xuewen WANG
1
;
Ban LU
1
;
Zeyu ZHANG
1
;
Yingdong ZHANG
1
;
Sihe QIN
2
;
Yong WU
1
;
Hui DU
1
Author Information
1. Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 102200, P. R. China.
2. Department of Orthopedic Surgery, Rehabilitation Hospital Affiliated to National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P. R. China.
- Publication Type:English Abstract
- Keywords:
Foot lengthening surgery;
Ilizarov technique;
calcaneal lengthening;
complication;
distraction osteogenesis;
metatarsal lengthening
- MeSH:
Humans;
Bone Transplantation/methods*;
Bone Lengthening/methods*;
Ilizarov Technique;
Osteogenesis, Distraction/methods*;
Foot Deformities/surgery*;
Postoperative Complications;
Treatment Outcome;
Foot/surgery*
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2025;39(8):937-941
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To summarize the research and clinical application progress of foot lengthening surgery.
METHODS:Relevant research literature on foot lengthening surgery in recent years at home and abroad was reviewed, and a summary was made from aspects such as the types of lengthening surgery, the types of foot diseases treated by clinical application, effectiveness, and complications.
RESULTS:Bone defects and shortening deformities of the foot are relatively common clinically. As an innovative treatment method, foot lengthening surgery has gradually attracted attention, mainly including the Ilizarov technique and one-stage bone grafting lengthening surgery. The former promotes bone regeneration based on the tension-stress principle and is widely used in the treatment of calcaneal defects and congenital metatarsal brachymetatarsia, achieving good curative effects. However, there are also complications such as pin-tract infection, joint stiffness and contracture, non-union and delayed union of bone, re-fracture, and alignment deviation. The latter has a short treatment cycle, but the lengthening length is limited. Bone graft resorption and soft tissue complications are its main complications.
CONCLUSION:Foot lengthening surgery will develop towards the direction of personalization, intelligence, and precision. With the help of multi-center research, biological materials, and intelligent technologies, the effectiveness and safety will be further improved to better restore the function and appearance of the foot.
