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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e809-e814
DOI: 10.1055/s-0044-1793823
Artigo de Atualização
Pé e Tornozelo

Pé plano valgo adquirido: Conceitos atuais – “Do pé plano valgo adquirido do adulto à deformidade colapsante progressiva do pé”

Article in several languages: português | English
Hugo Bertani Dressler 
1   Serviço de Ortopedia e Traumatologia, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
,
Kepler Alencar Mendes de Carvalho 
2   Duke University, Durham, NC, Estados Unidos
,
Roberto Zambelli 
3   Subespecialização em Cirurgia do Pé e Tornozelo, Serviço de Ortopedia e Traumatologia, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
,
Nacime Salomão Barbachan Mansur 
4   MedStar Orthopedic Institute, MedStar Union Memorial Hospital, Baltimore, MD, Estados Unidos
,
Cesar de Cesar Netto 
2   Duke University, Durham, NC, Estados Unidos
› Author Affiliations Suporte 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.
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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.

Palavras-chave

adulto - deformidades do pé - disfunção do tendão tibial posterior - pé chato


Publication History

Received: 08 September 2023

Accepted: 06 November 2023

Article published online:
21 December 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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