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Lateral column lengthening for acquired adult flatfoot deformity caused by posterior tibial tendon dysfunction stage II: a retrospective comparison of calcaneus osteotomy with calcaneocuboid distraction arthrodesis.
J Foot Ankle Surg. 2010 Jul-Aug; 49(4):380-4.JF

Abstract

In this study, clinical and radiological results after lateral column lengthening by calcaneocuboid distraction arthrodesis and calcaneus osteotomy were compared. Thirty-three patients (35 feet) treated with lateral column lengthening by distraction arthrodesis (14 patients, 16 feet; group I) or by calcaneus osteotomy (19 patients, 19 feet; group II) for adult-acquired flatfoot deformity caused by stage II posterior tibial tendon dysfunction were compared retrospectively. Mean follow-up was 42.4 months (range, 6-78 months) for group I and 15.8 months (range, 6-32 months) for group II (P < .001). The American Orthopaedic Foot & Ankle Society ankle-hindfoot score was determined, 4 variables were measured on preoperative and postoperative weight-bearing radiographs, and a number of independent and outcome variables, including patient satisfaction, were recorded. Group 2 had a significantly higher American Orthopaedic Foot & Ankle Society score compared with group I (mean, 85 vs. 72, respectively; P < .02) at time of last follow-up, and there were no dissatisfied patients in group I, whereas 2 patients in group II were dissatisfied with the result of the operation. All radiological results were significantly better at time of follow-up in both groups (except for talocalcaneal angle in group I), although no significant differences were noted in the amount of change in radiographic measurements between the groups. No significant correlation was found between follow-up time and radiographic improvement, indicating stable radiographic measurements over time. In group II, 13 mild calcaneocuboid subluxations were observed. In both groups, 1 nonunion and 1 wound complication occurred. Based on our experience with the patients described in this report, we recommend lateral column lengthening by means of calcaneus osteotomy rather than distraction arthrodesis of the calcaneocuboid joint, for correction of stage II posterior tibial tendon dysfunction.

Authors+Show Affiliations

Department of Orthopaedics, Diaconessenhuis, Meppel, The Netherlands. haeseker@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20610204

Citation

Haeseker, Guus A., et al. "Lateral Column Lengthening for Acquired Adult Flatfoot Deformity Caused By Posterior Tibial Tendon Dysfunction Stage II: a Retrospective Comparison of Calcaneus Osteotomy With Calcaneocuboid Distraction Arthrodesis." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 49, no. 4, 2010, pp. 380-4.
Haeseker GA, Mureau MA, Faber FW. Lateral column lengthening for acquired adult flatfoot deformity caused by posterior tibial tendon dysfunction stage II: a retrospective comparison of calcaneus osteotomy with calcaneocuboid distraction arthrodesis. J Foot Ankle Surg. 2010;49(4):380-4.
Haeseker, G. A., Mureau, M. A., & Faber, F. W. (2010). Lateral column lengthening for acquired adult flatfoot deformity caused by posterior tibial tendon dysfunction stage II: a retrospective comparison of calcaneus osteotomy with calcaneocuboid distraction arthrodesis. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 49(4), 380-4. https://doi.org/10.1053/j.jfas.2010.04.023
Haeseker GA, Mureau MA, Faber FW. Lateral Column Lengthening for Acquired Adult Flatfoot Deformity Caused By Posterior Tibial Tendon Dysfunction Stage II: a Retrospective Comparison of Calcaneus Osteotomy With Calcaneocuboid Distraction Arthrodesis. J Foot Ankle Surg. 2010 Jul-Aug;49(4):380-4. PubMed PMID: 20610204.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lateral column lengthening for acquired adult flatfoot deformity caused by posterior tibial tendon dysfunction stage II: a retrospective comparison of calcaneus osteotomy with calcaneocuboid distraction arthrodesis. AU - Haeseker,Guus A, AU - Mureau,Marc A, AU - Faber,Frank W M, PY - 2009/07/28/received PY - 2010/7/9/entrez PY - 2010/7/9/pubmed PY - 2010/10/22/medline SP - 380 EP - 4 JF - The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons JO - J Foot Ankle Surg VL - 49 IS - 4 N2 - In this study, clinical and radiological results after lateral column lengthening by calcaneocuboid distraction arthrodesis and calcaneus osteotomy were compared. Thirty-three patients (35 feet) treated with lateral column lengthening by distraction arthrodesis (14 patients, 16 feet; group I) or by calcaneus osteotomy (19 patients, 19 feet; group II) for adult-acquired flatfoot deformity caused by stage II posterior tibial tendon dysfunction were compared retrospectively. Mean follow-up was 42.4 months (range, 6-78 months) for group I and 15.8 months (range, 6-32 months) for group II (P < .001). The American Orthopaedic Foot & Ankle Society ankle-hindfoot score was determined, 4 variables were measured on preoperative and postoperative weight-bearing radiographs, and a number of independent and outcome variables, including patient satisfaction, were recorded. Group 2 had a significantly higher American Orthopaedic Foot & Ankle Society score compared with group I (mean, 85 vs. 72, respectively; P < .02) at time of last follow-up, and there were no dissatisfied patients in group I, whereas 2 patients in group II were dissatisfied with the result of the operation. All radiological results were significantly better at time of follow-up in both groups (except for talocalcaneal angle in group I), although no significant differences were noted in the amount of change in radiographic measurements between the groups. No significant correlation was found between follow-up time and radiographic improvement, indicating stable radiographic measurements over time. In group II, 13 mild calcaneocuboid subluxations were observed. In both groups, 1 nonunion and 1 wound complication occurred. Based on our experience with the patients described in this report, we recommend lateral column lengthening by means of calcaneus osteotomy rather than distraction arthrodesis of the calcaneocuboid joint, for correction of stage II posterior tibial tendon dysfunction. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/20610204/Lateral_column_lengthening_for_acquired_adult_flatfoot_deformity_caused_by_posterior_tibial_tendon_dysfunction_stage_II:_a_retrospective_comparison_of_calcaneus_osteotomy_with_calcaneocuboid_distraction_arthrodesis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(10)00182-1 DB - PRIME DP - Unbound Medicine ER -