Management of the Rigid Arthritic Flatfoot in the Adults

Gentchos, Christopher E.; Anderson, John G.; Bohay, Donald R.

doi:10.1016/j.fcl.2012.03.009

Cited by 11 publications

(13 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Несмотря на эти данные, частота развития деформиру-ющего артроза в сопредельных суставах после трехсуставного артродеза все же очень высо-ка и со временем достигает практически 100% [69]. Поэтому даже при выраженных ригидных формах плоскостопия, следует при малейшей возможности уменьшать количество артродези-рованных суставов [25,74,78]. Несмотря на то, что трехсуставной артродез остается «золотым стандартом» лечения тяжелых ригидных форм плоско-вальгусных стоп, техника двухсуставно-го или односуставного артродеза в комбинации с другими вмешательствами, нередко показыва-ет, по меньшей мере, не худшие результаты в раз-личных клинических ситуациях [71,74,78].…”

Section: хирургическое лечение плоско-вальгусных деформаций стопunclassified

Adult Acguired Flatfoot Deformity (Review)

Bulatov

Emel'yanov

Емельянов³

et al. 2017

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

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.

show abstract

Section: хирургическое лечение плоско-вальгусных деформаций стопunclassified

Adult Acguired Flatfoot Deformity (Review)

Bulatov

Emel'yanov

Емельянов³

et al. 2017

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

show abstract

“…The senior authors have published many studies delving into the conditions associated with arch collapse. 2,6,15,16,21,24 The Grand Rapids Arch Collapse Classification System accounts for many common degenerative conditions associated with arch collapse.…”

Section: Introductionmentioning

confidence: 99%

Statistical Validation of the Grand Rapids Arch Collapse Classification

Burkard

Patton

Padley

et al. 2019

Foot & Ankle Orthopaedics

View full text Add to dashboard Cite

Background: The Grand Rapids Arch Collapse Classification system was devised in 2011 to assist physicians' and patients' understanding of the mechanisms underlying arch collapse. Five types of arch collapse are described, based on which part of the foot or ankle is affected. The purpose of this study was to determine the inter-and intrarater reliability of this classification system when used by physicians with various levels of training. Methods: A senior author identified a stratified selection of 50 patients (10 per classification type) who presented with foot/ ankle pain and suitable radiographs. A survey was designed using prediagnosis radiographs and clinical synopses of the patient's chart. The survey consisted of a description of the classification scheme and the 50 cases in a randomized order. Eight weeks later, they repeated the test to analyze for intra-rater agreement. Results: Of the 33 physicians who received the survey, 26 completed the first round (16 attendings, 4 foot and ankle fellows, and 6 residents). Overall, there was substantial agreement among raters in all five types. Kappa scores for each type were 0.72, 0.65, 0.72, 0.70, 0.63, respectively. The combined kappa score was 0.68. After 8 weeks, 13 of the 26 participants repeated the study. A Kappa analysis was once again performed for the 13 respondents, which produced a substantial level of agreement with a value of 0.74 for intrarater reliability. Conclusion: The Grand Rapids Arch Collapse Classification system was designed to provide an accessible mechanism for physicians to consistently describe arch collapse, its effects, and the conditions associated with it. The utility of this system is wholly reliant on the repeatability among clinicians. This study has demonstrated that the classification system has substantial rates of reliability among physicians of different levels of experience and training. Level of evidence: Level IV.

show abstract

“…1 2 3 4 5 6 7 8 Triple arthrodesis is also indicated for older or overweight patients even when the evolutionary stage of AAFD is still intermediate (stage II), in which surgeries preserving some degree of joint movement would be performed. 8 9 10 11 12 13 In obese patients, corrective surgeries involving osteotomies associated with musculotendinous transfers present a greater chance of failure with recurrences. 8 12 Similarly, patients who are older and present low functional demand may also be good candidates for triple arthrodesis, since this surgery would theoretically contribute to alleviate the painful symptoms and is associated with a low risk of recurrence of deformities, thus avoiding a possible reoperation.…”

Section: Introductionmentioning

confidence: 99%

“…1 2 3 4 5 6 7 8 A artrodese tríplice também pode ter sua indicação estendida para pacientes mais idosos ou com sobrepeso, mesmo quando o estágio evolutivo do PPAA encontra-se ainda numa fase intermediária (estágio II), na qual normalmente poderiam ser indicadas cirurgias que preservassem algum grau de movimento articular. 8 9 10 11 12 13 Nos pacientes obesos, as cirurgias corretivas que envolvem osteotomias associadas a transferências musculotendíneas apresentam maior chance de falha com recidivas. 8 12 Da mesma maneira, pacientes com idade avançada e baixa demanda funcional também podem ser bons candidatos à artrodese tríplice, uma vez que esta cirurgia contribuiria, em tese, para aliviar os sintomas dolorosos com reduzido risco de recidiva das deformidades, evitando assim a possibilidade de uma segunda operação.…”

Section: Introductionunclassified

See 1 more Smart Citation

Qual o prognóstico da artrodese tríplice quando utilizada no tratamento do pé plano adquirido do adulto (PPAA)?

Gobbo¹,

Severino²

2019

Rev Bras Ortop

View full text Add to dashboard Cite

Resumo Objetivo Avaliar a capacidade da artrodese tríplice de aliviar as principais queixas dos pacientes que apresentam pé plano adquirido do adulto (PPAA): 1) dor incapacitante localizada no médio e retropé; 2) deformidades marcadas pelo colapso do arco medial, valgo, abdução e supinação. Método Avaliamos 17 pacientes (20 pés) portadores de PPAA em estado avançado que foram submetidos à correção cirúrgica pela artrodese tríplice modelante. A média de idade dos pacientes no momento da cirurgia foi de 62 anos (variação de 38 a 79 anos), e o tempo médio de seguimento foi de 43 meses (variação de 18 a 84 meses). Utilizamos critérios clínicos empregando a escala visual analógica da dor (EVAD) e a escala funcional da American Orthopaedic Foot and Ankle Society (AOFAS, na sigla em inglês) do retropé para avaliar a eficácia da cirurgia. Resultados A dor residual mensurada pela EVAD foi de três pontos, em média. Observamos incremento médio de 23% nos valores da escala AOFAS do retropé após o tratamento cirúrgico. A correção das deformidades foi satisfatória em 10 de 20 pés; parcialmente satisfatória em 4 de 20 pés; parcialmente insatisfatória em 5 de 20 pés; e insatisfatória em 1 de 20 pés. Conclusão Apesar da artrodese tríplice modelante indicada no tratamento do PPAA em estágio avançado apresentar alto índice de consolidação óssea, a correção incompleta das deformidades pré-existentes e a persistência de dor residual contribuíram para a elevada taxa de decepção dos pacientes com o resultado da cirurgia.

show abstract

Management of the Rigid Arthritic Flatfoot in the Adults

Cited by 11 publications

References 30 publications

Adult Acguired Flatfoot Deformity (Review)

Adult Acguired Flatfoot Deformity (Review)

Statistical Validation of the Grand Rapids Arch Collapse Classification

Qual o prognóstico da artrodese tríplice quando utilizada no tratamento do pé plano adquirido do adulto (PPAA)?

Contact Info

Product

Resources

About