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Treatment of Stage II Adult Acquired Flatfoot Deformity With Subtalar Arthroereises.
Foot Ankle Spec. 2015 Jun; 8(3):194-202.FA

Abstract

The role of arthroereises in the treatment of adult acquired flatfoot deformity (AAFD) has been controversial. This study aims to evaluate the outcome of subtalar arthroereisis in treating stage II AAFD. A total of 24 feet with stage II AAFD were treated surgically between 2009 and 2011 using subtalar arthroereisis. The average follow-up was 29.7 months (range = 24 to 35 months). The average postoperative AOFAS (American Orthopaedic Foot and Ankle Society) Ankle-Hindfoot Scale score was 85.6 (compared with 51.7 preoperatively). Average preoperative talar-first metatarsal angle and talonavicular coverage angle were -13.9° and 38.3°, respectively. The average postoperative angles were 1.6° and 11.2°, respectively (P < .01). No deformity recurrences were found at the time of last follow-up, with the exception of 1 case. Subtalar arthroereisis appears to be a reasonable treatment option for stage IIA and IIC AAFD. It can be used alone to correct mild hindfoot valgus, and it can also be performed with a calcaneal osteotomy to gain more correction in severe stage II AAFD.

LEVELS OF EVIDENCE

Therapeutic, Level IV: Retrospective Case Series.

Authors+Show Affiliations

Foot Ankle Center, Department of Orthopedics, Ruijin Hospital, Shanghai Jiaotong University, Shanghai, China (YZ)Department of Orthopedics, Ruijin Hospital, Shanghai, China (XX).Foot Ankle Center, Department of Orthopedics, Ruijin Hospital, Shanghai Jiaotong University, Shanghai, China (YZ)Department of Orthopedics, Ruijin Hospital, Shanghai, China (XX) zhuyuandoc@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25156101

Citation

Zhu, Yuan, and Xiang-Yang Xu. "Treatment of Stage II Adult Acquired Flatfoot Deformity With Subtalar Arthroereises." Foot & Ankle Specialist, vol. 8, no. 3, 2015, pp. 194-202.
Zhu Y, Xu XY. Treatment of Stage II Adult Acquired Flatfoot Deformity With Subtalar Arthroereises. Foot Ankle Spec. 2015;8(3):194-202.
Zhu, Y., & Xu, X. Y. (2015). Treatment of Stage II Adult Acquired Flatfoot Deformity With Subtalar Arthroereises. Foot & Ankle Specialist, 8(3), 194-202. https://doi.org/10.1177/1938640014548320
Zhu Y, Xu XY. Treatment of Stage II Adult Acquired Flatfoot Deformity With Subtalar Arthroereises. Foot Ankle Spec. 2015;8(3):194-202. PubMed PMID: 25156101.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of Stage II Adult Acquired Flatfoot Deformity With Subtalar Arthroereises. AU - Zhu,Yuan, AU - Xu,Xiang-Yang, Y1 - 2014/08/24/ PY - 2014/8/27/entrez PY - 2014/8/27/pubmed PY - 2016/2/9/medline KW - flat foot KW - posterior tibial tendon deficiency KW - sinus tarsi KW - subtalar joint SP - 194 EP - 202 JF - Foot & ankle specialist JO - Foot Ankle Spec VL - 8 IS - 3 N2 - UNLABELLED: The role of arthroereises in the treatment of adult acquired flatfoot deformity (AAFD) has been controversial. This study aims to evaluate the outcome of subtalar arthroereisis in treating stage II AAFD. A total of 24 feet with stage II AAFD were treated surgically between 2009 and 2011 using subtalar arthroereisis. The average follow-up was 29.7 months (range = 24 to 35 months). The average postoperative AOFAS (American Orthopaedic Foot and Ankle Society) Ankle-Hindfoot Scale score was 85.6 (compared with 51.7 preoperatively). Average preoperative talar-first metatarsal angle and talonavicular coverage angle were -13.9° and 38.3°, respectively. The average postoperative angles were 1.6° and 11.2°, respectively (P < .01). No deformity recurrences were found at the time of last follow-up, with the exception of 1 case. Subtalar arthroereisis appears to be a reasonable treatment option for stage IIA and IIC AAFD. It can be used alone to correct mild hindfoot valgus, and it can also be performed with a calcaneal osteotomy to gain more correction in severe stage II AAFD. LEVELS OF EVIDENCE: Therapeutic, Level IV: Retrospective Case Series. SN - 1938-7636 UR - https://www.unboundmedicine.com/medline/citation/25156101/Treatment_of_Stage_II_Adult_Acquired_Flatfoot_Deformity_With_Subtalar_Arthroereises_ L2 - http://journals.sagepub.com/doi/full/10.1177/1938640014548320?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -