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Medial displacement calcaneal osteotomy with posterior tibial tendon reconstruction for the flexible flatfoot with symptomatic accessory navicular.
J Foot Ankle Surg. 2014 Sep-Oct; 53(5):539-43.JF

Abstract

We investigated the clinical outcomes after medial displacement calcaneal osteotomy with reconstruction of the posterior tibial tendon insertion on the navicular, in patients with flexible flatfoot with accessory navicular symptoms. From December 2008 to July 2011, 16 patients (21 feet) with a flexible flatfoot, symptomatic accessory navicular, and obvious heel valgus underwent medial displacement calcaneal osteotomy and reconstruction with posterior tibial tendon insertion on the navicular bone. The patients were evaluated preoperatively, 6 weeks and 3, 6, and 12 months postoperatively, and every 6 months thereafter. The clinical examination was undertaken using the American Orthopaedic Foot and Ankle Society ankle and midfoot scores. The radiologic assessments included the arch height, calcaneus inclination angle, talocalcaneal angle, and talar first metatarsal angle on the lateral weightbearing radiograph. The talocalcaneal angle and talar first metatarsal angle was assessed on the anteroposterior view of the weightbearing foot. Heel valgus alignment was assessed on the axial hindfoot radiographs. The mean follow-up duration was 28.5 months (range 18 to 48). All patients were satisfied with the clinical results and were pain free 6 months postoperatively. No cases of wound infection or nerve injury developed. The mean American Orthopaedic Foot and Ankle Society score improved from 53.3 ± 6.5 to 90.8 ± 1.4 at the last follow-up visit (p < .01). The improvements in all radiographic parameters were statistically significant between the preoperative and last follow-up examinations (p < .01). The heel valgus of all patients was corrected. Our results have shown that medial displacement calcaneal osteotomy with reconstruction of the posterior tibial tendon insertion on the navicular bone is an effective treatment of flexible flatfoot with symptomatic accessory navicular, associated with excellent clinical outcomes and correction of the deformity.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Southwest Hospital, Third Military Medical University, Chongqing People's Republic of China.Department of Orthopaedic Surgery, Southwest Hospital, Third Military Medical University, Chongqing People's Republic of China. Electronic address: tangkanglai@hotmail.com.Department of Orthopaedic Surgery, Traditional Chinese Medical Hospital of Chongqing, Chongqing, People's Republic of China.Department of Orthopaedic Surgery, Southwest Hospital, Third Military Medical University, Chongqing People's Republic of China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24856662

Citation

Cao, Hong-Hui, et al. "Medial Displacement Calcaneal Osteotomy With Posterior Tibial Tendon Reconstruction for the Flexible Flatfoot With Symptomatic Accessory Navicular." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 53, no. 5, 2014, pp. 539-43.
Cao HH, Tang KL, Lu WZ, et al. Medial displacement calcaneal osteotomy with posterior tibial tendon reconstruction for the flexible flatfoot with symptomatic accessory navicular. J Foot Ankle Surg. 2014;53(5):539-43.
Cao, H. H., Tang, K. L., Lu, W. Z., & Xu, J. Z. (2014). Medial displacement calcaneal osteotomy with posterior tibial tendon reconstruction for the flexible flatfoot with symptomatic accessory navicular. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 53(5), 539-43. https://doi.org/10.1053/j.jfas.2014.04.004
Cao HH, et al. Medial Displacement Calcaneal Osteotomy With Posterior Tibial Tendon Reconstruction for the Flexible Flatfoot With Symptomatic Accessory Navicular. J Foot Ankle Surg. 2014 Sep-Oct;53(5):539-43. PubMed PMID: 24856662.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Medial displacement calcaneal osteotomy with posterior tibial tendon reconstruction for the flexible flatfoot with symptomatic accessory navicular. AU - Cao,Hong-Hui, AU - Tang,Kang-Lai, AU - Lu,Wei-Zhong, AU - Xu,Jian-Zhong, Y1 - 2014/05/21/ PY - 2013/05/16/received PY - 2014/5/27/entrez PY - 2014/5/27/pubmed PY - 2015/6/24/medline KW - calcaneus KW - case series KW - pes valgus KW - reconstructive foot surgery KW - tibialis posterior SP - 539 EP - 43 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 - 53 IS - 5 N2 - We investigated the clinical outcomes after medial displacement calcaneal osteotomy with reconstruction of the posterior tibial tendon insertion on the navicular, in patients with flexible flatfoot with accessory navicular symptoms. From December 2008 to July 2011, 16 patients (21 feet) with a flexible flatfoot, symptomatic accessory navicular, and obvious heel valgus underwent medial displacement calcaneal osteotomy and reconstruction with posterior tibial tendon insertion on the navicular bone. The patients were evaluated preoperatively, 6 weeks and 3, 6, and 12 months postoperatively, and every 6 months thereafter. The clinical examination was undertaken using the American Orthopaedic Foot and Ankle Society ankle and midfoot scores. The radiologic assessments included the arch height, calcaneus inclination angle, talocalcaneal angle, and talar first metatarsal angle on the lateral weightbearing radiograph. The talocalcaneal angle and talar first metatarsal angle was assessed on the anteroposterior view of the weightbearing foot. Heel valgus alignment was assessed on the axial hindfoot radiographs. The mean follow-up duration was 28.5 months (range 18 to 48). All patients were satisfied with the clinical results and were pain free 6 months postoperatively. No cases of wound infection or nerve injury developed. The mean American Orthopaedic Foot and Ankle Society score improved from 53.3 ± 6.5 to 90.8 ± 1.4 at the last follow-up visit (p < .01). The improvements in all radiographic parameters were statistically significant between the preoperative and last follow-up examinations (p < .01). The heel valgus of all patients was corrected. Our results have shown that medial displacement calcaneal osteotomy with reconstruction of the posterior tibial tendon insertion on the navicular bone is an effective treatment of flexible flatfoot with symptomatic accessory navicular, associated with excellent clinical outcomes and correction of the deformity. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/24856662/Medial_displacement_calcaneal_osteotomy_with_posterior_tibial_tendon_reconstruction_for_the_flexible_flatfoot_with_symptomatic_accessory_navicular_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(14)00140-9 DB - PRIME DP - Unbound Medicine ER -