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Surgical treatment results for flexible flatfoot in adolescents.
Acta Orthop Traumatol Turc. 2016 Dec; 50(6):655-659.AO

Abstract

OBJECTIVE

Idiopathic flexible pes planus (IFPP) is a common foot problem in adolescents and young adults. Hypothesis for the present study was that combination of procedures for IFPP can achieve results in adolescents and young adults that are as good as those seen in adult-acquired pes planovalgus (AAPP) treatment in adults.

METHODS

A total of 21 feet of 18 patients (10 boys, 8 girls) with mean age of 15.6 years underwent surgical reconstruction for flatfoot deformity. Symptomatic patients who had been unresponsive to conservative treatment were included in study group. Mean follow-up time was 39.2 months. American Orthopedic Foot and Ankle Society (AOFAS) scores were calculated for all patients, and based on final results, all families were asked whether or not they would elect to have the surgery again in same circumstances.

RESULTS

All procedures were performed by the same surgeon: lateral column calcaneal lengthening osteotomy on 21 feet; percutaneous lengthening or gastrocnemius recession for Achilles tendon on 21 feet; medializing calcaneal osteotomy on 15 feet; flexor digitorum longus tendon transfer on 15 feet; medial cuneiform opening wedge osteotomy on 5 feet, spring ligament plication on 3 feet, and accessory navicular bone excision on 2 feet. Preoperative mean AOFAS score increased significantly from 56.76 to 95.29. All parents stated that they were satisfied with surgery results and would choose to have the same surgery performed again.

CONCLUSION

Soft tissue and bony procedures used for reconstruction of AAPP can be used safely for IFPP in adolescents and young adults.

LEVEL OF CLINICAL EVIDENCE

Level IV, Therapeutic study.

Authors+Show Affiliations

Istanbul Cerrahi Hospital, Istanbul, Turkey. Electronic address: nsyontar@hotmail.com.Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.Istanbul Cerrahi Hospital, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27842935

Citation

Yontar, Necip Selcuk, et al. "Surgical Treatment Results for Flexible Flatfoot in Adolescents." Acta Orthopaedica Et Traumatologica Turcica, vol. 50, no. 6, 2016, pp. 655-659.
Yontar NS, Ogut T, Guven MF, et al. Surgical treatment results for flexible flatfoot in adolescents. Acta Orthop Traumatol Turc. 2016;50(6):655-659.
Yontar, N. S., Ogut, T., Guven, M. F., Botanlioglu, H., Kaynak, G., & Can, A. (2016). Surgical treatment results for flexible flatfoot in adolescents. Acta Orthopaedica Et Traumatologica Turcica, 50(6), 655-659. https://doi.org/10.1016/j.aott.2016.02.002
Yontar NS, et al. Surgical Treatment Results for Flexible Flatfoot in Adolescents. Acta Orthop Traumatol Turc. 2016;50(6):655-659. PubMed PMID: 27842935.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical treatment results for flexible flatfoot in adolescents. AU - Yontar,Necip Selcuk, AU - Ogut,Tahir, AU - Guven,Mehmet Fatih, AU - Botanlioglu,Huseyin, AU - Kaynak,Gokhan, AU - Can,Ata, Y1 - 2016/11/11/ PY - 2015/12/02/received PY - 2016/02/01/revised PY - 2016/02/05/accepted PY - 2016/11/16/pubmed PY - 2017/2/10/medline PY - 2016/11/16/entrez KW - Adolescent KW - Flexible flatfoot KW - Osteotomy KW - Pes planus SP - 655 EP - 659 JF - Acta orthopaedica et traumatologica turcica JO - Acta Orthop Traumatol Turc VL - 50 IS - 6 N2 - OBJECTIVE: Idiopathic flexible pes planus (IFPP) is a common foot problem in adolescents and young adults. Hypothesis for the present study was that combination of procedures for IFPP can achieve results in adolescents and young adults that are as good as those seen in adult-acquired pes planovalgus (AAPP) treatment in adults. METHODS: A total of 21 feet of 18 patients (10 boys, 8 girls) with mean age of 15.6 years underwent surgical reconstruction for flatfoot deformity. Symptomatic patients who had been unresponsive to conservative treatment were included in study group. Mean follow-up time was 39.2 months. American Orthopedic Foot and Ankle Society (AOFAS) scores were calculated for all patients, and based on final results, all families were asked whether or not they would elect to have the surgery again in same circumstances. RESULTS: All procedures were performed by the same surgeon: lateral column calcaneal lengthening osteotomy on 21 feet; percutaneous lengthening or gastrocnemius recession for Achilles tendon on 21 feet; medializing calcaneal osteotomy on 15 feet; flexor digitorum longus tendon transfer on 15 feet; medial cuneiform opening wedge osteotomy on 5 feet, spring ligament plication on 3 feet, and accessory navicular bone excision on 2 feet. Preoperative mean AOFAS score increased significantly from 56.76 to 95.29. All parents stated that they were satisfied with surgery results and would choose to have the same surgery performed again. CONCLUSION: Soft tissue and bony procedures used for reconstruction of AAPP can be used safely for IFPP in adolescents and young adults. LEVEL OF CLINICAL EVIDENCE: Level IV, Therapeutic study. SN - 2589-1294 UR - https://www.unboundmedicine.com/medline/citation/27842935/Surgical_treatment_results_for_flexible_flatfoot_in_adolescents_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1017-995X(16)30233-4 DB - PRIME DP - Unbound Medicine ER -