Abstract：
A stable medial column is important to the normal function of the foot and ankle. Medial column instability and forefoot varus can result in compensatory hindfoot motion leading to stress along the medial soft-tissue structures. Medial column stabilization should therefore be considered when (1) forefoot varus deformity is identified following hindfoot realignment; (2) pronounced medial column instability is present, even in the absence of forefoot varus; and (3) when degenerative changes are present within the medial column articulations. Common surgical procedures include arthrodesis of the talonavicular joint, naviculocuneiform joint, and first tarsometatarsal joint, as well as osteotomy of the medial cuneiform (Cotton osteotomy).
摘要：
稳定的内侧柱对于脚和脚踝的正常功能很重要。内侧柱不稳定和前足内翻可导致代偿后足运动，从而导致沿内侧软组织结构的应力。因此，当（1）后足重新对齐后发现前足内翻畸形时，应考虑内侧柱稳定；（2）存在明显的内侧柱不稳定，即使在没有前足内翻的情况下；（3）当内侧柱关节内存在退行性变化时。常见的外科手术包括距骨关节的关节固定术，Naviculoconeform关节，和第一个睑板关节，以及内侧楔形骨截骨（棉花截骨）。
