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Naviculocuneiform Arthrodesis in Adult Flatfoot: A Case Series.
J Foot Ankle Surg. 2019 Mar; 58(2):352-356.JF

Abstract

Medial column arthrodesis and calcaneal osteotomies are commonly used for adult-acquired flatfoot surgical reconstruction. In this case series, 10 patients (11 feet) with a mean age of 54 ± 13 years underwent a medial column arthrodesis, with or without calcaneal osteotomy, between 2010 and 2017. The indication for surgery was a painful flatfoot deformity with peritalar subluxation and a fault in the naviculocuneiform joint. At a mean of 9.9 (range 2.5 to 33.1) months after surgery, in patients who underwent a medial column arthrodesis, radiographs showed a mean decrease in the talonavicular coverage angle of 8.4° ± 8.5° (p = .013), and mean increases in the lateral talometatarsal and calcaneal inclination angle of 10.6° ± 10.3° (p = .002) and 2.2° ± 4.4° (p = .067), respectively. One nonunion (1 of 11 [9.1%]) occurred at the naviculocuneiform. These findings demonstrate marked improvement of radiographic flatfoot parameters after medial column arthrodesis.

Authors+Show Affiliations

Podiatrist, Department of Podiatry, Mid-Atlantic Permanente Medical Group, Rockville, MD. Electronic address: michael.a.gerrity@kp.org.Attending Physician, Virginia Mason Medical Center, Seattle, WA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30612870

Citation

Gerrity, Michael, and Matthew Williams. "Naviculocuneiform Arthrodesis in Adult Flatfoot: a Case Series." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 58, no. 2, 2019, pp. 352-356.
Gerrity M, Williams M. Naviculocuneiform Arthrodesis in Adult Flatfoot: A Case Series. J Foot Ankle Surg. 2019;58(2):352-356.
Gerrity, M., & Williams, M. (2019). Naviculocuneiform Arthrodesis in Adult Flatfoot: A Case Series. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 58(2), 352-356. https://doi.org/10.1053/j.jfas.2018.08.027
Gerrity M, Williams M. Naviculocuneiform Arthrodesis in Adult Flatfoot: a Case Series. J Foot Ankle Surg. 2019;58(2):352-356. PubMed PMID: 30612870.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Naviculocuneiform Arthrodesis in Adult Flatfoot: A Case Series. AU - Gerrity,Michael, AU - Williams,Matthew, Y1 - 2019/01/03/ PY - 2017/11/29/received PY - 2019/1/8/pubmed PY - 2019/7/31/medline PY - 2019/1/8/entrez KW - adult flatfoot KW - arthrodesis KW - midfoot fusion KW - naviculocuneiform SP - 352 EP - 356 JF - The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons JO - J Foot Ankle Surg VL - 58 IS - 2 N2 - Medial column arthrodesis and calcaneal osteotomies are commonly used for adult-acquired flatfoot surgical reconstruction. In this case series, 10 patients (11 feet) with a mean age of 54 ± 13 years underwent a medial column arthrodesis, with or without calcaneal osteotomy, between 2010 and 2017. The indication for surgery was a painful flatfoot deformity with peritalar subluxation and a fault in the naviculocuneiform joint. At a mean of 9.9 (range 2.5 to 33.1) months after surgery, in patients who underwent a medial column arthrodesis, radiographs showed a mean decrease in the talonavicular coverage angle of 8.4° ± 8.5° (p = .013), and mean increases in the lateral talometatarsal and calcaneal inclination angle of 10.6° ± 10.3° (p = .002) and 2.2° ± 4.4° (p = .067), respectively. One nonunion (1 of 11 [9.1%]) occurred at the naviculocuneiform. These findings demonstrate marked improvement of radiographic flatfoot parameters after medial column arthrodesis. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/30612870/Naviculocuneiform_Arthrodesis_in_Adult_Flatfoot:_A_Case_Series_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(18)30367-3 DB - PRIME DP - Unbound Medicine ER -