Document Detail


Combined midfoot osteotomy for severe forefoot adductus.
MedLine Citation:
PMID:  12499948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  23     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2003 Jan-Feb
Date Detail:
Created Date:  2002-12-24     Completed Date:  2003-04-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  74-8     Citation Subset:  IM    
Affiliation:
Washington University School of Medicine, Department of Orthopaedic Surgery, USA. Gordone@msnotes.wustl.edu
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MeSH Terms
Descriptor/Qualifier:
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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