| Combined midfoot osteotomy for severe forefoot adductus. | |
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MedLine Citation:
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PMID: 12499948 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A one-stage procedure combining a closing wedge osteotomy of the cuboid with an opening wedge of the medial cuneiform was used for the treatment of severe forefoot adductus. Results were reviewed in 33 patients (50 feet) followed-up for at least 2 years postoperatively. Clinical and radiographic improvement in forefoot position was achieved in 90% of cases. The mean calcaneo-second metatarsal angle improved from 37 degrees preoperatively to 18 degrees at final follow-up. The mean talo-first metatarsal angle improved from 15 degrees preoperatively to 3 degrees at final follow-up. The medial to lateral column ratio demonstrated 33% improvement after surgical treatment. Two feet were unimproved because of graft migration. Patients younger than age 5 years without a well-defined medial cuneiform ossific nucleus had a high rate of medial graft extrusion with loss of correction. This procedure should be reserved for patients aged 5 years or older. Ten patients followed-up for more than 6 years had no deterioration in results. This procedure provides effective, safe, predictable, and lasting correction of forefoot adductus. |
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Authors:
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J Eric Gordon; Scott J Luhmann; Matthew B Dobbs; Deborah A Szymanski; Margaret M Rich; David J Anderson; Perry L Schoenecker |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric orthopedics Volume: 23 ISSN: 0271-6798 ISO Abbreviation: J Pediatr Orthop Publication Date: 2003 Jan-Feb |
Date Detail:
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Created Date: 2002-12-24 Completed Date: 2003-04-25 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8109053 Medline TA: J Pediatr Orthop Country: United States |
Other Details:
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Languages: eng Pagination: 74-8 Citation Subset: IM |
Affiliation:
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Washington University School of Medicine, Department of Orthopaedic Surgery, USA. Gordone@msnotes.wustl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Cohort Studies Female Follow-Up Studies Foot Deformities, Congenital / radiography, surgery* Gait / physiology* Humans Male Osteotomy / methods* Range of Motion, Articular / physiology Recovery of Function Retrospective Studies Risk Assessment Severity of Illness Index Tarsal Bones / radiography*, surgery Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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