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https://www.readbyqxmd.com/read/28902608/technique-tricks-for-the-gleich-koutsogiannis-surgical-procedure-for-correction-of-the-adult-acquired-flatfoot
#1
Andrea Salvi, Andrea Volghi
Gleich-Koutsogiannis is a widely known extra-articular closing calcaneal osteotomic technique for correction of the adult flatfoot. Absolute care must be observed during each procedural step to avoid undesirable drawbacks, such as nerves and tendons lesions, incorrect fixation, and hardware painful prominence. It is the purpose of this report to introduce tricks to critical steps in order to improve the technique and minimize potential surgical complications.
May 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/28861205/gait-analysis-of-symptomatic-flatfoot-in-children-an-observational-study
#2
Ha Yong Kim, Hyuck Soo Shin, Jun Hyuck Ko, Yong Han Cha, Jae Hoon Ahn, Jae Yeon Hwang
BACKGROUND: Flatfoot deformity is a lever arm disease that incurs kinetic inefficiency during gait. The purpose of this study was to measure the degree of kinetic inefficiency by comparing the gait analysis data of a flatfoot group with a normal control group. METHODS: The patient group consisted of 26 children (21 males and 5 females) with symptomatic flatfoot. They were examined with gait analysis between May 2005 and February 2014. Exclusion criteria were patients with secondary flatfoot caused by neuromuscular disorders, tarsal coalition, vertical talus, or others...
September 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28858119/flatfoot-in-the-contralateral-foot-in-patients-with-unilateral-idiopathic-clubfoot-treated-using-the-foot-abduction-brace
#3
Yasuhiro Shirai, Kenjiro Wakabayashi, Ikuo Wada, Yoshiaki Tsuboi, Myongsu Ha, Takanobu Otsuka
While the foot abduction brace (FAB) plays an important role in the Ponseti method, the true function of the FAB in the treatment of idiopathic clubfoot remains unknown. In our clinical experience, we have noted that many patients with unilateral idiopathic clubfoot developed significant flatfoot in the contralateral foot during brace treatment. The purpose of this study was to investigate the natural history of the contralateral foot development during and after brace wear. We also discuss the effect of the FAB on the contralateral foot...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28843551/calcaneocuboid-distraction-arthrodesis-with-synthetic-bone-grafts-preliminary-results-of-an-innovative-bone-grafting-procedure-in-13%C3%A2-patients
#4
Hayato Kobayashi, Yasunori Kageyama, Yoji Shido
Calcaneocuboid distraction arthrodesis (CCDA) is regarded as an effective method for reconstructing adult-acquired flatfoot deformity. In the present study, we present our experience with newly developed rigid β-tricalcium phosphate wedges to treat CCDA to better understand the outcomes of this synthetic bone grafting procedure. A total of 13 feet in 13 patients underwent CCDA with synthetic bone grafts. One male (7.69%) and 12 females (92.31%), with a mean age of 65.07 ± 11.83 (range 36 to 77) years, were followed up for a mean duration of 32...
August 23, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28806265/adult-acquired-flatfoot-deformity-etiology-diagnosis-and-management
#5
Mostafa M Abousayed, Maxwell C Alley, Rachel Shakked, Andrew J Rosenbaum
No abstract text is available yet for this article.
August 2017: JBJS Reviews
https://www.readbyqxmd.com/read/28779815/the-flatfoot-even-after-decades-of-work-we-still-need-help-understanding-it
#6
EDITORIAL
J Kent Ellington
No abstract text is available yet for this article.
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779814/pediatric-flatfoot-pearls-and-pitfalls
#7
REVIEW
Samuel E Ford, Brian P Scannell
Pediatric flatfeet are common, are usually asymptomatic, and typically improve over time as young children age. It is critical to differentiate flexible from rigid flatfeet and to assess for associated Achilles contracture with a careful history, physical examination, and initial radiographs. Although there are limited data, nonsurgical management of symptomatic flatfeet, both flexible and rigid, should be exhausted before considering surgical intervention. If patients fail conservative treatment, surgical management with joint-preserving, deformity-corrective techniques is typically used for pediatric flexible flatfeet in conjunction with deformity-specific soft tissue procedures...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779811/the-undercorrected-flatfoot-reconstruction
#8
REVIEW
Kenneth J Hunt, Ryan P Farmer
In symptomatic patients, undercorrection of a flatfoot deformity can lead to the need for revision surgery to restore functional mechanics and prevent progression of deformity. The underlying cause of undercorrection is failure to fully recognize or understand the extent of the deformity. This article discusses the typical deformities in adult flatfoot and indications for surgical intervention. Also presented are the surgical procedures for the correction of the typical deformity patterns with available outcome statistics and a stepwise algorithm for patient evaluation to assist in treatment and mitigate the risk of undercorrection of deformity...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779810/overcorrected-flatfoot-reconstruction
#9
REVIEW
Todd A Irwin
The overcorrected flatfoot reconstruction is a less common but often difficult sequelae of surgical treatment of the adult acquired flatfoot deformity. Understanding the patient's symptoms and how they correlate to the procedures performed during the index surgery are paramount to determining the appropriate course of treatment. Patients' symptoms may resemble those seen in the cavovarus foot condition, often secondary to overlengthening of the lateral column or excessive displacement of the calcaneal tuberosity...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779809/is-this-my-ankle-or-my-foot
#10
REVIEW
William Hodges Davis
Understanding of the complexities of the adult acquired pathologic flatfoot has undergone serious evolution in the past 30 years to an understanding of the subtleties of what causes the different presentations and drives successful treatment. As the treatment of ankle arthritis evolves from fusion to ankle replacement, the need for answers for the difficult patient with valgus degenerative ankle disease begs a look at what causes this form of flatfoot. This article poses the question, is there a subset of patients with "flatfoot" that has little to do with the foot and is all about the ankle?...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779808/evans-osteotomy-complications
#11
REVIEW
Marcelo E Jara
In 1975, Evans published an article describing the surgical management of the "calcaneo-valgus deformity," pointing out that the deformity was due to relative shortening of the lateral column of the foot. Correction involved "equalizing" both columns by performing an osteotomy in the neck of the calcaneus 1.5 cm from the calcaneocuboid joint, where a trapezoidal wedge of tricortical bone was placed. Although it was considered a success, there were complications, including sural nerve injury, surgical wound dehiscence, undercorrection, and graft subsidence...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779807/calcaneal-osteotomies-pearls-and-pitfalls
#12
REVIEW
Stephen Greenfield, Bruce Cohen
Adult acquired flatfoot deformity is a debilitating condition typically affecting middle-aged patients. The multiple components include hindfoot valgus, first ray elevation, medial soft tissue compromise, and forefoot abduction. As the foot becomes unbalanced, the deformity progresses with repetitive loading and time. Untreated patients often need significant reconstructions or extensive arthrodesis after arthritis and joint contractures present. Medializing calcaneal osteotomy is the workhorse operation for correction of hindfoot valgus, reliably correcting deformity with a relatively low complication risk...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779805/naviculocuneiform-sag-in-the-acquired-flatfoot-what-to-do
#13
REVIEW
Joshua A Metzl
Sag at the naviculocuneiform (NC) joint represents an important aspect of the flatfoot deformity. Failure to address medial column instability could lead to continued deformity and poor patient outcomes. No single procedure is enough to address the complexity of the adult acquired flatfoot deformity. Whether in combination with other procedures or in isolation, NC fusion and Cotton osteotomy are important pieces of the armamentarium to address all aspects of the flatfoot deformity.
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779804/what-to-do-with-the-spring-ligament
#14
REVIEW
Brian Steginsky, Anand Vora
The spring ligament complex is an important static restraint of the medial longitudinal arch of the foot and its failure has been associated with progressive flatfoot deformity. Reconstruction of the spring ligament complex is most appropriate in stage II posterior tibial tendon dysfunction, before severe peritalar subluxation and rigid deformity develops. Although an understanding of the spring ligament complex and its contribution to medial arch stability has grown, there is no unanimously accepted surgical technique that has consistently demonstrated satisfactory outcomes...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779803/deltoid-ligament-repair-in-flatfoot-deformity
#15
REVIEW
Ezekiel Oburu, Mark S Myerson
Deltoid ligament reconstruction allows for joint preservation of the ankle in the setting of patients a triple arthrodesis due to a flat foot deformity. Although the increased forces that may occur in the ankle joint after a triple arthrodesis cannot be eliminated, reconstruction of the ligament will delay and may prevent the onset arthritis, allowing the patient to maintain mobility of the ankle joint. The anatomy, surgery, and risks and benefits are discussed.
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28752791/effect-of-tibial-coronal-inclination-on-hindfoot-kinematics-a-biomechanical-simulation-study
#16
Hiroyuki Seki, Takeo Nagura, Yasunori Suda, Naomichi Ogihara, Kohta Ito, Morio Matsumoto, Masaya Nakamura
Tibial coronal inclination is often recognized in everyday life, but the compensatory kinematic changes to maintain plantigrade of the hindfoot in response to tibial coronal inclination remain unclear. Lower legs and foot specimens obtained from seven human cadavers were loaded vertically with traction of Achilles' tendon in different tibial inclinations: 0° (neutral), 5°, and 10° medial inclination, and 5° and 10° lateral inclination. The orientations of the tibia, talus, and calcaneus were recorded under vertical load by a three-dimensional digitizing stylus...
July 1, 2017: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/28717988/bioabsorbable-implants-for-subtalar-arthroereisis-in-pediatric-flatfoot
#17
REVIEW
C Faldini, A Mazzotti, A Panciera, F Perna, N Stefanini, S Giannini
Flatfoot is a common condition in growing-age patients. Despite its common presentation, nowadays surgical indications and treatments are still debated. Arthroereisis is a widely used technique, and several implants designs have been proposed over time. Despite the good results shown in the literature, the main drawback of these techniques has always been the need for a second surgery for implant removal. Bioabsorbable devices have been introduced to overcome this necessity.Correct approach to the patient, indications and contraindications and available studies on bioabsorbable implants for subtalar arthroereisis in pediatric flatfoot were analyzed in this narrative review...
July 17, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28706845/arthroscopic-triple-arthrodesis-in-management-of-chronic-flatfoot-deformity
#18
Tun Hing Lui
Triple arthrodesis has a significant role in the management of hindfoot osteoarthritis and deformity. Traditionally, it is an open procedure with extensive soft tissue dissection. Arthroscopic triple arthrodesis would appear to provide good visualization and preparation of the fusion surfaces while preserving the soft tissue envelope. The purpose of this Technical Note is to describe a minimally invasive approach of triple arthrodesis to correct chronic flatfoot deformity.
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28690463/in-vivo-plantar-pressures-in-adult-acquired-flatfoot-compared-to-control-using-an-intraoperative-pedobarographic-device
#19
Aoife MacMahon, Howard J Hillstrom, Huong T Do, Jeremy Y Chan, Jonathan T Deland, Scott J Ellis
BACKGROUND: Intraoperative pedobarography has the potential to aid surgical decisions, but no parameters exist to guide its use. QUESTIONS/PURPOSES: This study compared supine plantar pressures between flatfoot patients and controls using a previously validated intraoperative pedobarographic device and examined associations between supine, walking, and standing plantar pressures. METHODS: Ten preoperative patients with stage II adult-acquired flatfoot deformity (AAFD) were compared to ten healthy controls...
July 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28688712/cotton-osteotomy-in-flatfoot-reconstruction-a-review-of-consecutive-cases
#20
Troy J Boffeli, Katherine R Schnell
The Cotton osteotomy or opening wedge medial cuneiform osteotomy is a useful adjunctive flatfoot reconstructive procedure that is commonly performed; however, the outcomes are rarely reported owing to the adjunctive nature of the procedure. The Cotton procedure is relatively quick to perform and effectively corrects forefoot varus deformity after rearfoot fusion or osteotomy to achieve a rectus forefoot to rearfoot relationship. Proper patient selection is critical because the preoperative findings of medial column joint instability, concomitant hallux valgus deformity, or degenerative joint disease of the medial column might be better treated by arthrodesis of the naviculocuneiform or first tarsometatarsal joints...
July 6, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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