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Radiographic outcomes of adult acquired flatfoot corrected by medial column arthrodesis with or without a medializing calcaneal osteotomy.
J Foot Ankle Surg. 2011 Mar-Apr; 50(2):176-81.JF

Abstract

Medial column arthrodesis and calcaneal osteotomies are commonly used for adult acquired flatfoot surgical reconstruction. In this retrospective study, 41 patients (47 feet) with a mean age of 55 ± 13.5 years underwent a medial column arthrodesis, with or without calcaneal osteotomy, between 1999 and 2007. The indication for surgery was a painful flatfoot deformity with peritalar subluxation, and a fault in the naviculocuneiform joint. At a mean of 9.6 (range 3-43) months postoperatively, in patients who underwent a medial column arthrodesis, radiographs showed a mean decrease in the talonavicular coverage angle of 10.2° ± 8.7° (P < .001), and mean increases in the lateral talometatarsal and calcaneal inclination angle of 10.7° ± 5.1° (P < .001) and of 3.2° ± 2.7° (P < .001), respectively. In patients who underwent a combined medial column arthrodesis and a medializing calcaneal osteotomy, the talonavicular coverage angle decreased by a mean of 12.1° ± 6.1° (P < .001), while the lateral talometatarsal angle and calcaneal inclination angle increased by a mean of 12.3° ± 6.1° (P < .001) and 3.1° ± 2.7° (P < .001), respectively, from preoperative values. Four nonunions (4 of 47, 8.51%) occurred at the naviculocuneiform joint and 1 nonunion (1 of 32, 3.13%) occurred at the tarsometatarsal joint. These findings demonstrate marked improvement of radiographic flatfoot parameters following a medial column arthrodesis with or without a medializing calcaneal osteotomy.

Authors+Show Affiliations

Kaiser Permanente San Francisco Bay Area Foot and Ankle Residency Program, Kaiser Permanente Medical Center, Oakland, CA 94611, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21354002

Citation

Jordan, Thomas H., et al. "Radiographic Outcomes of Adult Acquired Flatfoot Corrected By Medial Column Arthrodesis With or Without a Medializing Calcaneal Osteotomy." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 50, no. 2, 2011, pp. 176-81.
Jordan TH, Rush SM, Hamilton GA, et al. Radiographic outcomes of adult acquired flatfoot corrected by medial column arthrodesis with or without a medializing calcaneal osteotomy. J Foot Ankle Surg. 2011;50(2):176-81.
Jordan, T. H., Rush, S. M., Hamilton, G. A., & Ford, L. A. (2011). Radiographic outcomes of adult acquired flatfoot corrected by medial column arthrodesis with or without a medializing calcaneal osteotomy. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 50(2), 176-81. https://doi.org/10.1053/j.jfas.2010.12.008
Jordan TH, et al. Radiographic Outcomes of Adult Acquired Flatfoot Corrected By Medial Column Arthrodesis With or Without a Medializing Calcaneal Osteotomy. J Foot Ankle Surg. 2011 Mar-Apr;50(2):176-81. PubMed PMID: 21354002.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Radiographic outcomes of adult acquired flatfoot corrected by medial column arthrodesis with or without a medializing calcaneal osteotomy. AU - Jordan,Thomas H, AU - Rush,Shannon M, AU - Hamilton,Graham A, AU - Ford,Lawrence A, PY - 2009/08/28/received PY - 2011/3/1/entrez PY - 2011/3/1/pubmed PY - 2011/7/27/medline SP - 176 EP - 81 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 - 50 IS - 2 N2 - Medial column arthrodesis and calcaneal osteotomies are commonly used for adult acquired flatfoot surgical reconstruction. In this retrospective study, 41 patients (47 feet) with a mean age of 55 ± 13.5 years underwent a medial column arthrodesis, with or without calcaneal osteotomy, between 1999 and 2007. The indication for surgery was a painful flatfoot deformity with peritalar subluxation, and a fault in the naviculocuneiform joint. At a mean of 9.6 (range 3-43) months postoperatively, in patients who underwent a medial column arthrodesis, radiographs showed a mean decrease in the talonavicular coverage angle of 10.2° ± 8.7° (P < .001), and mean increases in the lateral talometatarsal and calcaneal inclination angle of 10.7° ± 5.1° (P < .001) and of 3.2° ± 2.7° (P < .001), respectively. In patients who underwent a combined medial column arthrodesis and a medializing calcaneal osteotomy, the talonavicular coverage angle decreased by a mean of 12.1° ± 6.1° (P < .001), while the lateral talometatarsal angle and calcaneal inclination angle increased by a mean of 12.3° ± 6.1° (P < .001) and 3.1° ± 2.7° (P < .001), respectively, from preoperative values. Four nonunions (4 of 47, 8.51%) occurred at the naviculocuneiform joint and 1 nonunion (1 of 32, 3.13%) occurred at the tarsometatarsal joint. These findings demonstrate marked improvement of radiographic flatfoot parameters following a medial column arthrodesis with or without a medializing calcaneal osteotomy. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/21354002/Radiographic_outcomes_of_adult_acquired_flatfoot_corrected_by_medial_column_arthrodesis_with_or_without_a_medializing_calcaneal_osteotomy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(10)00507-7 DB - PRIME DP - Unbound Medicine ER -