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https://www.readbyqxmd.com/read/27894834/a-podoscopic-and-descriptive-study-of-foot-deformities-in-patients-with-down-syndrome
#1
E Mansour, J J Yaacoub, Z Bakouny, A Assi, I Ghanem
INTRODUCTION: Subjects with Down syndrome (DS) are known to be affected by various foot deformities. Despite the fact that some of these deformities have been reported in the literature, a more comprehensive description would be of benefit. The aim of this study is to investigate the prevalence of known foot deformities in patients with DS and of other previously non-described foot anomalies in this population. HYPOTHESIS: Subjects with DS have an increased prevalence of foot deformities compared to control subjects...
November 25, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27885384/use-of-the-arthroereisis-screw-with-tendoscopic-delivered-platelet-rich-plasma-for-early-stage-adult-acquired-flatfoot-deformity
#2
Youichi Yasui, Ichiro Tonogai, Andrew J Rosenbaum, David M Moore, Masato Takao, Hirotaka Kawano, John G Kennedy
PURPOSE: Early stage adult acquired flatfoot deformity (AAFD) is traditionally treated with osteotomy and tendon transfer. Despite a high success rate, the long recovery time and associated morbidity are not sufficient. This study aims to evaluate the functional and radiological outcomes following the use of the arthroereisis screw with tendoscopic delivered PRP for early stage AAFD. METHODS: Patients with stage IIa AAFD who underwent the use of the arthroereisis screw with tendoscopic delivered PRP with a minimum follow-up time of 24 months were retrospectively evaluated...
November 24, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27866885/surgical-planning-for-flexor-digitorum-longus-tendon-transfers-an-anatomic-study
#3
Jeffrey E McAlister, Shyler L DeMill, Eric So, Christopher F Hyer
Posterior tibial tendon dysfunction is often coupled with various degrees of hindfoot valgus and equinus. Preoperative planning is essential to appropriate procedure choice and surgical efficiency. The purpose of the present study was to assess the anatomy at the harvest site for flexor digitorum longus tendon transfer, specifically at the master knot of Henry. Thirty fresh-frozen below-the-knee cadavers were used for dissection. A standard anatomic approach was performed for posterior tibial tendon debridement and flexor digitorum longus tendon transfer...
November 17, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27858680/comparing-the-efficacy-of-exercise-internal-and-external-shoe-modification-in-pes-planus-a-clinical-and-pedobarographic-study
#4
Ozgur Taspinar, Derya Demirbag Kabayel, Ferda Ozdemir, Hakan Tuna, Yasar Keskin, Oznur Berke Mercimek, Necdet Süt, Selcuk Yavuz, Filiz Tuna
Pes planus is a condition that can cause pain along the innerfoot due to the absence or abnormal depression of the longitudinal arch. There are few studies available that compare therapy modalities used in these patients. In our study, those treated with conservative therapies - internal and external shoe modifications and pes planus exercises - were compared clinically and pedobarographyically. 60 pes planus patients were included in the study. In the first group; internal modification was performed by placing a medial longitudinal arch support inside the shoe...
November 11, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27842935/surgical-treatment-results-for-flexible-flatfoot-in-adolescents
#5
Necip Selcuk Yontar, Tahir Ogut, Mehmet Fatih Guven, Huseyin Botanlioglu, Gokhan Kaynak, Ata Can
OBJECTIVE: Idiopathic flexible pes planus (IFPP) is a common foot problem in adolescents and young adults. Hypothesis for the present study was that combination of procedures for IFPP can achieve results in adolescents and young adults that are as good as those seen in adult-acquired pes planovalgus (AAPP) treatment in adults. METHODS: A total of 21 feet of 18 patients (10 boys, 8 girls) with mean age of 15.6 years underwent surgical reconstruction for flatfoot deformity...
November 11, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27760696/prevalence-of-flatfoot-among-school-students-and-its-relationship-with%C3%A2-bmi
#6
Mohsen Pourghasem, Nematollah Kamali, Mehrdad Farsi, Nabiollah Soltanpour
OBJECTIVE: The aim of this study was to analyze the relation between the flat-footedness and obesity. MATERIALS AND METHODS: A total of 1158 school children (653 male and 505 female) participated in this cross sectional descriptive study. According to their age, children were divided into three groups for each gender (6-10, 11-13, 14-18 years old). Diagnosis and severity of flatfoot was assessed in using the Dennis method. BMI of children were calculated as body weight divided by height squared (kg*m(-2))...
October 16, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27744576/return-to-sport-activities-after-medial-displacement-calcaneal-osteotomy-and-flexor-digitorum-longus-transfer
#7
F G Usuelli, C A Di Silvestri, R D'Ambrosi, C Maccario, E W Tan
PURPOSE: Medial displacement calcaneal osteotomy with flexor digitorum longus transfer is a common treatment for the management of the adult flatfoot associated with posterior tibial tendon dysfunction. In the literature, there is a paucity of information regarding the ability of patients to return to sport and recreational activities after this surgical procedure. The purpose of this retrospective clinical study was to assess the rate and type of athletic activities that patients participated in before and after medial displacement calcaneal osteotomy with flexor digitorum longus transfer...
October 15, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27694060/dynamic-gait-stability-of-treadmill-versus-overground-walking-in-young-adults
#8
Feng Yang, George A King
Treadmill has been broadly used in laboratory and rehabilitation settings for the purpose of facilitating human locomotion analysis and gait training. The objective of this study was to determine whether dynamic gait stability differs or resembles between the two walking conditions (overground vs. treadmill) among young adults. Fifty-four healthy young adults (age: 23.9±4.7years) participated in this study. Each participant completed five trials of overground walking followed by five trials of treadmill walking at a self-selected speed while their full body kinematics were gathered by a motion capture system...
December 2016: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/27644096/reliability-of-the-optogait-portable-photoelectric-cell-system-for-the-quantification-of-spatial-temporal-parameters-of-gait-in-young-adults
#9
Antonio Gomez Bernal, Ricardo Becerro-de-Bengoa-Vallejo, Marta Elena Losa-Iglesias
Determining progress in gait requires a reliable method. However, achieving standard assessment results in the clinical setting can be challenging. Searching for a reliable tool, we tested OptoGait, a tool that has floor-level, high-density photoelectric cells that can be used to determine patterns of spatial-temporal gait on the basis of 19 variables: step length, stride length, distance, total contact time, step time, walking speed, acceleration, progressive step time, cadence, gait cycle, stance phase, swing phase, heel contact phase, flatfoot phase, takeoff phase, single limb support, double limb support, load response phase, and pre-swing phase...
September 13, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27632061/adaptive-gait-responses-to-awareness-of-an-impending-slip-during-treadmill-walking
#10
Feng Yang, JaeEun Kim, Jose Munoz
The awareness of potential slip risk has been shown to cause protective changes to human gait during overground walking. It remains unknown if such adaptations to walking pattern also exist when ambulating on a treadmill. This study sought to determine whether and to what extent individuals, when being aware of a potential slip risk during treadmill walking, could adjust their gait pattern to improve their dynamic stability against backward balance loss in response to the impending slip hazard. Fifty-four healthy young subjects (age: 23...
September 12, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27625969/comparison-of-preoperative-mri-and-intraoperative-findings-of-posterior-tibial-tendon-insufficiency
#11
Matthias Braito, Martina Wöß, Benjamin Henninger, Michael Schocke, Michael Liebensteiner, Dennis Huber, Martin Krismer, Rainer Biedermann
BACKGROUND: The purpose of this study was to investigate the radiological and surgical correlation between preoperative magnetic resonance images (MRI) and the intraoperative findings in patients with acquired adult flatfoot. RESULTS: The overall radiological-surgical correlation between preoperative MRI and the intraoperative findings for posterior tibial tendon insufficiency was only slight to fair in our patient's series. Comparing the most commonly used posterior tibial tendon classification systems, the classification of Rosenberg et al...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27556250/patient-specific-computational-models-to-optimize-surgical-correction-for-flatfoot-deformity
#12
Brian A Smith, Robert S Adelaar, Jennifer S Wayne
Several surgically corrective procedures are considered to treat Adult Acquired Flatfoot Deformity (AAFD) patients, relieve pain, and restore function. Procedure selection is based on best practices and surgeon preference. Recent research created patient specific models of AAFD to explore their predictive capabilities and examine effectiveness of the surgical procedure used to treat the deformity. The models' behavior was governed solely by patient bodyweight, soft tissue constraints, muscle loading, and joint contact without the assumption of idealized joints...
August 24, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27545512/effects-of-medial-displacement-calcaneal-osteotomy-and-calcaneal-z%C3%A2-osteotomy-on-subtalar-joint-pressures-a-cadaveric-flatfoot-model
#13
Nathan Patrick, Gregory S Lewis, Evan P Roush, Allen R Kunselman, Jarrett D Cain
Medial displacement calcaneal osteotomies have been shown to be successful in the surgical management of adult acquired flatfoot, in particular, stage 2 deformity. Classically, the medial displacement calcaneal osteotomy technique has been performed. However, a calcaneal Z osteotomy has been more recently described and applied in the surgical management of flatfoot deformity. Although the potential advantages of the calcaneal Z technique have been reported, data on its effect on the subtalar joint are lacking...
August 18, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27545430/the-hindfoot-arch-what-role-does-the-imager-play
#14
REVIEW
Yu-Ching Lin, John Y Kwon, Mohammad Ghorbanhoseini, Jim S Wu
Flatfoot deformity is a common disorder of the foot and ankle and is caused by loss of the hindfoot arch. Radiologists and clinicians should be familiar with the anatomy and the imaging criteria used to assess injury to the supporting structures. Radiographs and computed tomography are most useful in characterizing the degree of osseous deformity and ultrasonography and magnetic resonance imaging are most useful in the evaluation of the supporting soft tissue structures. Treatment depends on the clinical symptoms and involves restoring the normal biomechanics of the hindfoot arch through strengthening exercises, foot/ankle orthotics, and surgery...
September 2016: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/27472719/autograft-versus-sterilized-allograft-for-lateral-calcaneal-lengthening-osteotomies-comparison-of-50-patients
#15
Sebastian A Müller, Alexej Barg, Patrick Vavken, Victor Valderrabano, Andreas M Müller
Sterilized allografts may be less resistant to collapse and prone to nonunion leading to loss of correction in open wedge osteotomies. These adverse events usually occur at early time points (i.e., < 9 months postoperatively). The goal of this study was to compare sterilized allografts to autologous grafts in respect to secondary loss of hindfoot alignment and graft incorporation after lateral calcaneal lengthening osteotomies.Fifty patients (22 F/ 28 M, age: 16-69 years) who had undergone 50 lateral calcaneal lengthening osteotomies for adult flatfoot deformity were included in this retrospective study...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27458719/the-effect-of-different-foot-orthosis-inverted-angles-on-plantar-pressure-in-children-with-flexible-flatfeet
#16
Soo-Kyung Bok, Hyunkeun Lee, Bong-Ok Kim, Soyoung Ahn, Youngshin Song, Insik Park
Although orthotic modification using the inverted technique is available for the treatment of flatfoot, empirical evidence for the biomechanical effects of inverted-angle foot orthoses (FOs) is lacking. The aim of this study was to evaluate the effects of different FO inversion angles on plantar pressure during gait in children with flatfoot. Twenty-one children with flexible flatfeet (mean age 9.9 years) were enrolled in this study. The plantar pressures were measured for the rearfoot; medial and lateral midfoot; and medial, central, and lateral forefoot as participants walked on a treadmill while wearing shoes only and shoes with the following 3 orthotic conditions: (i) orthosis with no inverted angle, (ii) orthosis with a 15° inverted angle, and (iii) orthosis with a 30° inverted angle...
2016: PloS One
https://www.readbyqxmd.com/read/27442217/an-analysis-of-relative-gait-impairment-in-commonly-diagnosed-pediatric-conditions
#17
Jody Litrenta, George Gorton, Bhavna Ahuja, Peter Masso, David Drvaric
BACKGROUND: Gait indices were developed to represent the magnitude of impairment extracted from a gait analysis with a single value. The Gillette Gait Index (GGI), and the Gait Deviation Index (GDI) are 2 widely used indices that represent gait impairment differently based on their statistical properties. Our purpose was to (1) report on the results of gait analysis for a broad spectrum of pediatric conditions using the GGI and GDI, and (2) identify the parameters that dominate impairment...
July 20, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27402620/calcaneal-z-lengthening-osteotomy-combined-with-subtalar-arthroereisis-for-severe-adolescent-flexible-flatfoot-reconstruction
#18
Yang Xu, Xing-Chen Li, Xiang-Yang Xu
BACKGROUND: The timing and strategy for operative treatment of flatfoot are still controversial. The purpose of this study was to evaluate clinical outcomes and radiographic changes following calcaneal Z osteotomy combined with subtalar arthroereisis for severe adolescent flexible flatfoot. METHODS: Data were analyzed for 16 patients (20 feet) who had flatfoot without tibialis posterior tendon dysfunction and were treated by calcaneal Z osteotomy combined with arthroereisis between October 2011 and February 2015...
July 9, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27379788/comparison-of-allograft-and-bovine-xenograft-in-calcaneal-lengthening-osteotomy-for-flatfoot-deformity-in-cerebral-palsy
#19
Jason Rhodes, Alfred Mansour, Allison Frickman, Breanna Pritchard, Katherine Flynn, Zhaoxing Pan, Frank Chang, Nancy Miller
BACKGROUND: The Evan's calcaneal lengthening osteotomy is a treatment method for spastic flatfoot deformity in patients with cerebral palsy that fail nonoperative measures. Autograft and allograft have been reported as potential graft choices. Bovine xenograft has been introduced as an alternative, but limited human data exists supporting its efficacy. This study compares the long-term results of allograft versus xenograft in isolated Evan's procedure performed for correction of flexible spastic flatfoot deformity...
July 2, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27312121/correlation-between-primary-flat-foot-and-lower-extremity-rotational-misalignment-in-adults
#20
A Cebulski-Delebarre, N Boutry, C Szymanski, C Maynou, G Lefebvre, E Amzallag-Bellenger, A Cotten
PURPOSE: The goal of this study was to identify rotational abnormalities of the lower limb in adult patients with primary symptomatic flatfoot. MATERIALS AND METHODS: From September 2009 to May 2012, 24 patients (12 women, 12 men; mean age: 40 years) were prospectively included in the study. Each patient underwent radiographs of the flat foot and weight-bearing upright EOS(®) examination. Three-dimensional reconstructions of the lower extremities were performed with derived measurements (length, hip and knee parameters, rotations)...
June 13, 2016: Diagnostic and Interventional Imaging
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