Autograft and Allograft Unite Similarly in Lateral Column Lengthening for Adult Acquired Flatfoot Deformity

Ellis, Scott J.; O’Malley, Martin J.; Elliott, Andrew; Levine, David S.; Deland, Jonathan T.; Roberts, Matthew M.

doi:10.1007/s11420-012-9317-5

Cited by 27 publications

(37 citation statements)

References 26 publications

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“…Though in direct comparison, autograft and allograft are similarly effective in overall patient satisfaction and radiographic outcome, each has its respective advantages and limitations. 6,[19][20][21] Autograft is the gold standard as it includes all of the host osteoprogenitor cells, proteins, and growth factors that likely confer greater incorporation and osteogenic potential. 6,[19][20][21][22][23] However, the harvesting procedure for autograft causes significant morbidity at the donor site: postoperative pain, bleeding, infection, nerve damage, and increased operative time.…”

Section: Levels Of Evidence: Level Iv: Case Seriesmentioning

confidence: 99%

Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity

Moore

Carstensen

Burrus

et al. 2017

Foot & Ankle Specialist

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Section: Levels Of Evidence: Level Iv: Case Seriesmentioning

confidence: 99%

Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity

Moore

Carstensen

Burrus

et al. 2017

Foot & Ankle Specialist

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“…Из 126 операций было отмечено 20 неудачных результатов (несращение и потеря коррекции), их них 7 -с использованием аутотранспланта-тов и 13 -аллотрансплантатов. Авторы пришли к выводу, что статистически значимой разницы в неудачных результатах между использовани-ем различных трансплантатов не было, хотя не-удач с применением аллотрансплантатов коли-чественно было больше [89].…”

Section: хирургическое лечение плоско-вальгусных деформаций стопunclassified

Adult Acguired Flatfoot Deformity (Review)

Bulatov

Emel'yanov

Емельянов³

et al. 2017

Traumatology and Orthopedics of Russia

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Flatfoot deformity represents a complex pathology often observed in active adult population. Conservative treatment does not always yield the intended outcome. Various surgical methods addressing mentioned pathology were actively developing during past decades. However, despite diversity of procedures there are many contradictions in respect of necessity and efficiency of a certain procedure especially in grades II and IV of the disease. The paper presents clinical, roentgenological and biomechanical features of acquired flatfoot deformity. The authors analyzed literature publications dedicated to different correction methods adopted in world orthopaedics.

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“…36 Another recent study showed radiographic improvement of forefoot varus, elevated first metatarsal, and medial column instability in patients treated surgically using a Cotton osteotomy. 38 The incidence of lateral pain after LCL has been discussed in multiple studies. The authors suggested that a hindfoot alignment radiographic view can be a valuable preoperative measurement to help adjust the amount of intraoperative correction.…”

Section: Stage IImentioning

confidence: 99%

Current concepts in adult acquired flatfoot deformity

Nair

Deland

Ellis

2015

Current Orthopaedic Practice

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Adult acquired flatfoot deformity (AAFD) is associated with medial soft-tissue break of the posterior tibial tendon and ligaments of the arch. Failure of other ligaments that support the arch of the foot can occur before, during, or after tendon failure. Deformity at different levels may be directly related to specific structures that fail. Deformity often consists of a combination of plantar sag, midfoot abduction, and heel valgus. The cause of AAFD is multifactorial with the most common etiologic factor probably being a preexisting flatfoot. Other contributing factors include obesity and relative hypovascularity of the posterior tibial tendon. Currently, patients are grouped into four clinical stages that help describe the severity and flexibility of the deformity and guide treatment. AAFD is generally diagnosed through patient history, physical examination, and standing radiographs of the foot and ankle. Definitive treatment for stage I and initial treatment for the other stages should start with nonoperative measures. In general, surgical treatment algorithms should match individual components of the pathology or deformity with specific surgical treatments. Outcomes after treatment of AAFD have been documented. In general, preserving motion of the joints of the foot leads to better functional outcomes than fusion. Currently, the most controversy surrounds the surgical treatment of stage II deformity. Key WordsFlatfoot, adult acquired flatfoot deformity, outcomes, posterior tibial tendon insufficiency ETIOLOGY AND PREVENTIONThe etiology of AAFD is multifactorial. It occurs more commonly in women, with peak prevalence at age 55 yr. 7 The most common etiologic factor is probably a preexisting flatfoot, placing stress on the ligaments that support the arch and the posterior tibial tendon. Obesity also is a risk factor. The area of the posterior tibial tendon that degenerates is relatively hypovascular. 8 A tight Achilles tendon or

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Autograft and Allograft Unite Similarly in Lateral Column Lengthening for Adult Acquired Flatfoot Deformity

Abstract: Background: Lateral column lengthening (LCL) is used to address the forefoot abduction associated with the adult acquired flatfoot. This opening wedge osteotomy can be filled with either allograft or autograft bone.

Cited by 27 publications

References 26 publications

Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity

Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity

Adult Acguired Flatfoot Deformity (Review)

Current concepts in adult acquired flatfoot deformity

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