{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T15:58:04Z","timestamp":1790179084495,"version":"4.1.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2024,12,21]],"date-time":"2024-12-21T00:00:00Z","timestamp":1734739200000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>O dist\u00farbio cl\u00ednico tradicionalmente conhecido como p\u00e9 plano valgo por insufici\u00eancia do tend\u00e3o tibial posterior ou p\u00e9 plano valgo adquirido do adulto tem sido objeto de diversas publica\u00e7\u00f5es nas \u00faltimas duas d\u00e9cadas, e entende-se agora que o problema n\u00e3o est\u00e1 no tend\u00e3o tibial posterior em si, pois o dist\u00farbio pode ocorrer at\u00e9 mesmo sem a les\u00e3o desse tend\u00e3o. Estudos trouxeram novos conceitos e entendimentos que questionaram o olhar sobre o tema, o que culminou na substitui\u00e7\u00e3o das classifica\u00e7\u00f5es existentes por uma que fosse mais assertiva e discriminativa dos poss\u00edveis padr\u00f5es de apresenta\u00e7\u00e3o da deformidade. Al\u00e9m disso, tamb\u00e9m prop\u00f4s-se a mudan\u00e7a da nomenclatura para \u201cdeformidade colapsante progressiva do p\u00e9\u201d (DCPP; progressive collapsing foot deformity, PCFD, em ingl\u00eas).<\/jats:p><jats:p>Quanto ao tratamento cir\u00fargico, ainda persiste o conceito de abordagem \u00e0 la carte, com \u00eanfase no realinhamento dos eixos, o que pode ser obtido por meio de osteotomias, artrodeses e equil\u00edbrio de partes moles, que consiste em transposi\u00e7\u00f5es\/reparos tendinosos e reconstru\u00e7\u00e3o de estruturas ligamentares, sobretudo do complexo ligamentar deltoide e do ligamento mola.<\/jats:p>","DOI":"10.1055\/s-0044-1793823","type":"journal-article","created":{"date-parts":[[2024,12,21]],"date-time":"2024-12-21T23:30:21Z","timestamp":1734823821000},"page":"e809-e814","source":"Crossref","is-referenced-by-count":2,"title":["P\u00e9 plano valgo adquirido: Conceitos atuais \u2013 \u201cDo p\u00e9 plano valgo adquirido do adulto \u00e0 deformidade colapsante progressiva do p\u00e9\u201d"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5314-4364","authenticated-orcid":false,"given":"Hugo Bertani","family":"Dressler","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Rede Mater Dei de Sa\u00fade, Belo Horizonte, MG, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1082-6490","authenticated-orcid":false,"given":"Kepler Alencar Mendes de","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Duke University, Durham, NC, Estados Unidos"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9692-5283","authenticated-orcid":false,"given":"Roberto","family":"Zambelli","sequence":"additional","affiliation":[{"name":"Subespecializa\u00e7\u00e3o em Cirurgia do P\u00e9 e Tornozelo, Servi\u00e7o de Ortopedia e Traumatologia, Rede Mater Dei de Sa\u00fade, Belo Horizonte, MG, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9582-0946","authenticated-orcid":false,"given":"Nacime Salom\u00e3o Barbachan","family":"Mansur","sequence":"additional","affiliation":[{"name":"MedStar Orthopedic Institute, MedStar Union Memorial Hospital, Baltimore, MD, Estados Unidos"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6037-0685","authenticated-orcid":false,"given":"Cesar de","family":"Cesar Netto","sequence":"additional","affiliation":[{"name":"Duke University, Durham, NC, Estados Unidos"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,12,21]]},"reference":[{"issue":"239","key":"ref1","first-page":"196","article-title":"Tibialis posterior tendon dysfunction","author":"K A Johnson","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"ref2","first-page":"393","article-title":"Adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendon","volume":"46","author":"M S Myerson","year":"1997","journal-title":"Instr Course Lect"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.fcl.2007.03.003","article-title":"Posterior tibial tendon rupture: a refined classification system","volume":"12","author":"E M Bluman","year":"2007","journal-title":"Foot Ankle Clin"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1177\/10711007221078000","article-title":"Diagnostic Accuracy of the Progressive Collapsing Foot Deformity (PCFD) Classification","volume":"43","author":"S Li","year":"2022","journal-title":"Foot Ankle Int"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1177\/107110070502600601","article-title":"Posterior tibial tendon insufficiency: which ligaments are involved?","volume":"26","author":"J T Deland","year":"2005","journal-title":"Foot Ankle Int"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.fcl.2021.05.003","article-title":"Calcaneal Osteotomies in the Treatment of Progressive Collapsing Foot Deformity. 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