| Outcome of medial displacement calcaneal osteotomy for correction of adult-acquired flatfoot. | |
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MedLine Citation:
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PMID: 23131439 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The results of medial displacement calcaneal osteotomy (MDCO) with flexor digitorum longus (FDL) tendon transfer were reviewed, as well as postoperative radiographic changes, to determine quantitative x-ray-based indications for MDCO with FDL tendon transfer in cases of adult-acquired flatfoot. MATERIALS AND METHODS: Twenty-five patients, ages 42 to 71 years, underwent MDCO with FDL tendon transfer for stage II posterior tibial tendon dysfunction. Follow-up was 2.6 to 10.2 years. Preoperative and postoperative Japanese Society for Surgery of the Foot (JSSF), Foot Function Index, and SF-36 scores and physical and radiographic findings were compared. Eight measures of foot alignment were obtained from weight-bearing radiographs at 3, 6, 9, and 12 months after surgery and every 6 months thereafter. Differences in scores and values over time were analyzed statistically. RESULTS: Average JSSF scores improved from 59 preoperatively to 91.3 postoperatively (p < .001). The only x-ray parameters that improved significantly and showed maintenance of the surgical correction were the lateral talometatarsal (LTMT) and tibiocalcaneal (TBC) angles. With preoperative LTMT and TBC angles of >25° and >15°, respectively, correction was inadequate. CONCLUSIONS: It was concluded that indications for MDCO with FDL tendon transfer in cases of adult-acquired flatfoot are a preoperative LTMT angle of <25° and hindfoot coronal alignment (TBC angle) of <15°. |
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Authors:
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Hisateru Niki; Takaaki Hirano; Hirokazu Okada; Moroe Beppu |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society Volume: 33 ISSN: 1071-1007 ISO Abbreviation: Foot Ankle Int Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-11-07 Completed Date: 2013-01-09 Revised Date: 2013-02-25 |
Medline Journal Info:
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Nlm Unique ID: 9433869 Medline TA: Foot Ankle Int Country: United States |
Other Details:
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Languages: eng Pagination: 940-6 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, St. Marianna University School of Medicine, Kanagawa, Japan. h2niki@marianna-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Calcaneus / surgery* Female Flatfoot / etiology, radiography, surgery* Humans Male Middle Aged Osteotomy / methods* Pain Measurement Posterior Tibial Tendon Dysfunction / complications*, surgery Postoperative Complications Retrospective Studies Tendon Transfer* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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