Document Detail


Outcome of medial displacement calcaneal osteotomy for correction of adult-acquired flatfoot.
MedLine Citation:
PMID:  23131439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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°.
Authors:
Hisateru Niki; Takaaki Hirano; Hirokazu Okada; Moroe Beppu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2012-11-07     Completed Date:  2013-01-09     Revised Date:  2013-02-25    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  940-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, St. Marianna University School of Medicine, Kanagawa, Japan. h2niki@marianna-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
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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