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[Double arthrodesis through a single medial incision approach for flatfoot].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014 Nov; 28(11):1321-4.ZX

Abstract

OBJECTIVE

To investigate the effectiveness of double arthrodesis to correct flatfoot deformity with pes valgus.

METHODS

Between May 2009 and May 2012, 12 patients with flatfoot deformity and pes valgus were treated using subtalar and talonavicular joints arthrodesis through a single medial incision approach. There were 5 males and 7 females with an average age of 53.3 years (range, 21-78 years), including 5 left feet and 7 right feet. Of them, 11 cases had posterior tibial tendon dysfunctions; 6 cases were at Johnson-Strom stage III, 5 cases at stage II(c); and 1 case had tarsal coalition. Preoperative American Orthopaedic Foot and Ankle Society (AOFAS) score and visual analogue scale (VAS) score were 48.75 ± 3.46 and 6.08 ± 1.14, respectively.

RESULTS

The mean operation time was 85.6 minutes (range, 65-125 minutes). Eleven patients were followed up for 19.4 months on average (range, 13-30 months). All of the cases obtained primary healing of incision, with no complication of infection and nerve or blood vessel injury. X-ray film showed that the mean time of bone union was 9.8 weeks (range, 7-18 weeks): no bone nonunion occurred. No loosening or breakage of internal fixation was observed. Pain occurred at the calcaneal-cuboid joint (1 case) and at fixation site (1 case), and was relieved after symptomatic treatment. The mean AOFAS score and VAS score were significantly increased to 81.36 ± 2.98 and 0.72 ± 0.11 respectively, showing significant differences when compared with preoperative scores (t = 19.946, P = 0.000; t = 16.288, P = 0.000).

CONCLUSION

Subtalar and talonavicular joints arthrodesis by a single medial incision approach is a useful alternative to triple arthrodesis for the correction of flatfoot deformity with pes valgus.

Authors

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Pub Type(s)

Journal Article

Language

chi

PubMed ID

25639042

Citation

Yu, Guangrong, et al. "[Double Arthrodesis Through a Single Medial Incision Approach for Flatfoot]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 28, no. 11, 2014, pp. 1321-4.
Yu G, Yu T, Yang Y, et al. [Double arthrodesis through a single medial incision approach for flatfoot]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014;28(11):1321-4.
Yu, G., Yu, T., Yang, Y., Li, B., Zhu, H., Chen, K., Zhang, M., & Zhao, Y. (2014). [Double arthrodesis through a single medial incision approach for flatfoot]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 28(11), 1321-4.
Yu G, et al. [Double Arthrodesis Through a Single Medial Incision Approach for Flatfoot]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014;28(11):1321-4. PubMed PMID: 25639042.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Double arthrodesis through a single medial incision approach for flatfoot]. AU - Yu,Guangrong, AU - Yu,Tao, AU - Yang,Yunfeng, AU - Li,Bing, AU - Zhu,Hui, AU - Chen,Kai, AU - Zhang,Mingzhu, AU - Zhao,Youguang, PY - 2015/2/3/entrez PY - 2015/2/3/pubmed PY - 2015/7/18/medline SP - 1321 EP - 4 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 28 IS - 11 N2 - OBJECTIVE: To investigate the effectiveness of double arthrodesis to correct flatfoot deformity with pes valgus. METHODS: Between May 2009 and May 2012, 12 patients with flatfoot deformity and pes valgus were treated using subtalar and talonavicular joints arthrodesis through a single medial incision approach. There were 5 males and 7 females with an average age of 53.3 years (range, 21-78 years), including 5 left feet and 7 right feet. Of them, 11 cases had posterior tibial tendon dysfunctions; 6 cases were at Johnson-Strom stage III, 5 cases at stage II(c); and 1 case had tarsal coalition. Preoperative American Orthopaedic Foot and Ankle Society (AOFAS) score and visual analogue scale (VAS) score were 48.75 ± 3.46 and 6.08 ± 1.14, respectively. RESULTS: The mean operation time was 85.6 minutes (range, 65-125 minutes). Eleven patients were followed up for 19.4 months on average (range, 13-30 months). All of the cases obtained primary healing of incision, with no complication of infection and nerve or blood vessel injury. X-ray film showed that the mean time of bone union was 9.8 weeks (range, 7-18 weeks): no bone nonunion occurred. No loosening or breakage of internal fixation was observed. Pain occurred at the calcaneal-cuboid joint (1 case) and at fixation site (1 case), and was relieved after symptomatic treatment. The mean AOFAS score and VAS score were significantly increased to 81.36 ± 2.98 and 0.72 ± 0.11 respectively, showing significant differences when compared with preoperative scores (t = 19.946, P = 0.000; t = 16.288, P = 0.000). CONCLUSION: Subtalar and talonavicular joints arthrodesis by a single medial incision approach is a useful alternative to triple arthrodesis for the correction of flatfoot deformity with pes valgus. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/25639042/[Double_arthrodesis_through_a_single_medial_incision_approach_for_flatfoot]_ DB - PRIME DP - Unbound Medicine ER -