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Double calcaneal osteotomy for severe adolescent flexible flatfoot reconstruction.
J Orthop Surg Res. 2017 Oct 17; 12(1):153.JO

Abstract

BACKGROUND

The timing and strategy of treatment for flatfoot still remain controversial. It is a difficult problem when facing severe adolescent flexible flatfoot because a single procedure cannot realign flatfoot deformity effectively.

METHODS

We reviewed 13 adolescent flexible flatfoot patients who underwent double calcaneal osteotomy during May 2012 to June 2015. The mean age of patients was 15.2 ± 1.8 (range, 10-18) years. The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot (AOFAS-AH) scores and SF-36 score were adopted to evaluate the preoperative and postoperative functions of the foot. Changes of hindfoot valgus angles, talonavicular uncoverage angles on AP view and talo-first metatarsal angles, and talar pitch angles and calcaneal pitch angles on the lateral film before and after surgery were measured.

RESULTS

All 13 patients (15 ft) were followed. The mean duration of follow-up was 34.5 ± 15.7 (range, 21-60) months. The hindfoot valgus angle improved from 16.5 ± 4.1 to 2.9 ± 1.6. On the foot AP view, the mean preoperative and postoperative talonavicular coverage angles were 24.9 ± 8.5 and 6.5 ± 3.6. On the lateral view of the foot, the average preoperative and postoperative talo-first metatarsal angles were 18.1 ± 5.5 and 4.9 ± 4.4. The mean preoperative and postoperative talar pitch angles were 36.4 ± 4.7 and 24.0 ± 5.6. The AOFAS-AH score improved from 68.9 ± 12.3 preoperatively to 94.6 ± 3.9 postoperatively.

CONCLUSION

With additional procedures, double calcaneal osteotomy was an effective method for severe adolescent flexible flatfoot.

Authors+Show Affiliations

Department of Orthopedics, Shanghai Ruijin Hospital North, Shanghai Jiaotong University School of Medicine, Shanghai, China.Department of Orthopedics, Shanghai Ruijin Hospital North, Shanghai Jiaotong University School of Medicine, Shanghai, China.Department of Orthopedics, Shanghai Ruijin Hospital North, Shanghai Jiaotong University School of Medicine, Shanghai, China.Department of orthopedics, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, China.Department of orthopedics, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, China. xu664531@hotmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29041945

Citation

Xu, Yang, et al. "Double Calcaneal Osteotomy for Severe Adolescent Flexible Flatfoot Reconstruction." Journal of Orthopaedic Surgery and Research, vol. 12, no. 1, 2017, p. 153.
Xu Y, Cao YX, Li XC, et al. Double calcaneal osteotomy for severe adolescent flexible flatfoot reconstruction. J Orthop Surg Res. 2017;12(1):153.
Xu, Y., Cao, Y. X., Li, X. C., Zhu, Y., & Xu, X. Y. (2017). Double calcaneal osteotomy for severe adolescent flexible flatfoot reconstruction. Journal of Orthopaedic Surgery and Research, 12(1), 153. https://doi.org/10.1186/s13018-017-0655-3
Xu Y, et al. Double Calcaneal Osteotomy for Severe Adolescent Flexible Flatfoot Reconstruction. J Orthop Surg Res. 2017 Oct 17;12(1):153. PubMed PMID: 29041945.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Double calcaneal osteotomy for severe adolescent flexible flatfoot reconstruction. AU - Xu,Yang, AU - Cao,Yong-Xing, AU - Li,Xing-Chen, AU - Zhu,Yuan, AU - Xu,Xiang-Yang, Y1 - 2017/10/17/ PY - 2017/06/07/received PY - 2017/10/11/accepted PY - 2017/10/19/entrez PY - 2017/10/19/pubmed PY - 2018/6/14/medline KW - Flatfoot KW - Lateral column lengthening KW - Osteotomy KW - Reconstruction SP - 153 EP - 153 JF - Journal of orthopaedic surgery and research JO - J Orthop Surg Res VL - 12 IS - 1 N2 - BACKGROUND: The timing and strategy of treatment for flatfoot still remain controversial. It is a difficult problem when facing severe adolescent flexible flatfoot because a single procedure cannot realign flatfoot deformity effectively. METHODS: We reviewed 13 adolescent flexible flatfoot patients who underwent double calcaneal osteotomy during May 2012 to June 2015. The mean age of patients was 15.2 ± 1.8 (range, 10-18) years. The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot (AOFAS-AH) scores and SF-36 score were adopted to evaluate the preoperative and postoperative functions of the foot. Changes of hindfoot valgus angles, talonavicular uncoverage angles on AP view and talo-first metatarsal angles, and talar pitch angles and calcaneal pitch angles on the lateral film before and after surgery were measured. RESULTS: All 13 patients (15 ft) were followed. The mean duration of follow-up was 34.5 ± 15.7 (range, 21-60) months. The hindfoot valgus angle improved from 16.5 ± 4.1 to 2.9 ± 1.6. On the foot AP view, the mean preoperative and postoperative talonavicular coverage angles were 24.9 ± 8.5 and 6.5 ± 3.6. On the lateral view of the foot, the average preoperative and postoperative talo-first metatarsal angles were 18.1 ± 5.5 and 4.9 ± 4.4. The mean preoperative and postoperative talar pitch angles were 36.4 ± 4.7 and 24.0 ± 5.6. The AOFAS-AH score improved from 68.9 ± 12.3 preoperatively to 94.6 ± 3.9 postoperatively. CONCLUSION: With additional procedures, double calcaneal osteotomy was an effective method for severe adolescent flexible flatfoot. SN - 1749-799X UR - https://www.unboundmedicine.com/medline/citation/29041945/Double_calcaneal_osteotomy_for_severe_adolescent_flexible_flatfoot_reconstruction_ L2 - https://josr-online.biomedcentral.com/articles/10.1186/s13018-017-0655-3 DB - PRIME DP - Unbound Medicine ER -