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Radiographic changes of the mid-tarsal joint after calcaneal lengthening for planovalgus foot deformity.
Foot Ankle Surg. 2020 Jan; 26(1):110-115.FA

Abstract

BACKGROUND

This study evaluate the radiographic changes in the mid-tarsal joint, including the calcaneocuboid and talonavicular (TN) joints after calcaneal lengthening for planovalgus deformity in children.

METHODS

This study included 38 patients (68 feet) who underwent calcaneal lengthening for planovalgus deformity. Radiographic osteoarthritic changes at the CC or TN joint were defined as modified Kellgren-Lawrence grade of ≥1.

RESULTS

Among the 68 feet, 31 feet (45.6%) showed radiographic osteoarthritic changes at the CC joint and 20 (29.4%) showed changes at the TN joint. Risk of radiographic osteoarthritic changes at the CC joint was associated with increased age at surgery (OR = 1.2, p = 0.038). Risk of radiographic osteoarthritic changes at the TN joint was associated with increased age at surgery (OR = 2.2; p = 0.002), preoperative AP talus-1st metatarsal angle (OR = 1.1; p = 0.044), and degree of CC subluxation (OR = 2.1; p = 0.007).

CONCLUSIONS

Surgeons should consider the risk factors in the surgical correction of planovalgus deformity to prevent mid-tarsal arthritis.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-Gu, Seongnam, Gyeonggi 13620, South Korea. Electronic address: skh1219@naver.com.Department of Mathematics, College of Natural Sciences, Ajou University, 206 Worldcup-ro, Yeongtong-gu, Suwon, Gyeonggi 16499, South Korea. Electronic address: qrio1010@gmail.com.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-Gu, Seongnam, Gyeonggi 13620, South Korea. Electronic address: chungcy66@gmail.com.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-Gu, Seongnam, Gyeonggi 13620, South Korea. Electronic address: oasis100@empas.com.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-Gu, Seongnam, Gyeonggi 13620, South Korea. Electronic address: pmsmed@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30611558

Citation

Sung, Ki Hyuk, et al. "Radiographic Changes of the Mid-tarsal Joint After Calcaneal Lengthening for Planovalgus Foot Deformity." Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons, vol. 26, no. 1, 2020, pp. 110-115.
Sung KH, Kwon SS, Chung CY, et al. Radiographic changes of the mid-tarsal joint after calcaneal lengthening for planovalgus foot deformity. Foot Ankle Surg. 2020;26(1):110-115.
Sung, K. H., Kwon, S. S., Chung, C. Y., Lee, K. M., & Park, M. S. (2020). Radiographic changes of the mid-tarsal joint after calcaneal lengthening for planovalgus foot deformity. Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons, 26(1), 110-115. https://doi.org/10.1016/j.fas.2018.12.008
Sung KH, et al. Radiographic Changes of the Mid-tarsal Joint After Calcaneal Lengthening for Planovalgus Foot Deformity. Foot Ankle Surg. 2020;26(1):110-115. PubMed PMID: 30611558.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Radiographic changes of the mid-tarsal joint after calcaneal lengthening for planovalgus foot deformity. AU - Sung,Ki Hyuk, AU - Kwon,Soon-Sun, AU - Chung,Chin Youb, AU - Lee,Kyoung Min, AU - Park,Moon Seok, Y1 - 2018/12/31/ PY - 2018/10/16/received PY - 2018/11/16/revised PY - 2018/12/21/accepted PY - 2019/1/7/pubmed PY - 2020/8/25/medline PY - 2019/1/7/entrez KW - Calcaneal lengthening KW - Mid-tarsal joint KW - Planovalgus deformity KW - Radiographic osteoarthritic change SP - 110 EP - 115 JF - Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons JO - Foot Ankle Surg VL - 26 IS - 1 N2 - BACKGROUND: This study evaluate the radiographic changes in the mid-tarsal joint, including the calcaneocuboid and talonavicular (TN) joints after calcaneal lengthening for planovalgus deformity in children. METHODS: This study included 38 patients (68 feet) who underwent calcaneal lengthening for planovalgus deformity. Radiographic osteoarthritic changes at the CC or TN joint were defined as modified Kellgren-Lawrence grade of ≥1. RESULTS: Among the 68 feet, 31 feet (45.6%) showed radiographic osteoarthritic changes at the CC joint and 20 (29.4%) showed changes at the TN joint. Risk of radiographic osteoarthritic changes at the CC joint was associated with increased age at surgery (OR = 1.2, p = 0.038). Risk of radiographic osteoarthritic changes at the TN joint was associated with increased age at surgery (OR = 2.2; p = 0.002), preoperative AP talus-1st metatarsal angle (OR = 1.1; p = 0.044), and degree of CC subluxation (OR = 2.1; p = 0.007). CONCLUSIONS: Surgeons should consider the risk factors in the surgical correction of planovalgus deformity to prevent mid-tarsal arthritis. SN - 1460-9584 UR - https://www.unboundmedicine.com/medline/citation/30611558/Radiographic_changes_of_the_mid_tarsal_joint_after_calcaneal_lengthening_for_planovalgus_foot_deformity_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1268-7731(18)30454-5 DB - PRIME DP - Unbound Medicine ER -