Outcome of Medial Displacement Calcaneal Osteotomy for Correction of Adult-Acquired Flatfoot

Abstract

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°.

Surgery for adult acquired flatfoot due to posterior tibial tendon dysfunction reduces pain, improves function and health related quality of life

“…Most of these studies used the AOFAS A-HF scale and one included as many as 126 patients [16]. There are also retrospective studies with preoperative data, all but one of these used the AOFAS A-HF scale, but with as many as 41% of the preoperative scores missing [11][12][13][14][15]33]. That is, when summarizing published studies it seems that virtually all infer that these patients have a low AOFAS A-HF score before surgery but also that this score is improved after performed surgery.…”

“…Methods: We evaluated 21 patients with a median age of 60 (range 37-72) years who underwent different surgical reconstructions due to stage II AAFD before and 6 and 24 months after surgery by the validated Self-Reported Foot and Ankle Score (SEFAS), Short Form 36 (SF-36) and Euroquol 5 Dimensions (EQ-5D). Results: The improvement from before to 24 months after surgery was in SEFAS mean 12 (95% confidence interval 8-15), SF-36 physical function 21 (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22), SF-36 bodily pain 28 , EQ-5D 0.2 (0.1-0.3) and EQ-VAS 11 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21). Conclusion: Surgery for AFFD due to PTTD results in reduced pain and improved function and health related quality of life.…”

“…Surgery becomes an option after failed non-surgical treatment. There are less than 20 published studies that evaluate the outcome of this type of surgery, most are small retrospective investigations [11][12][13][14][15][16][17][18][19] with only postoperative data presented [23][24][25][26] and only few use a prospective design [20][21][22]. The aim of this study was to prospectively evaluate surgery for stage II AAFD.…”

Adult Acguired Flatfoot Deformity (Review)

“…Авторы пришли к выводу, что единственные рентгенологические параметры, которые улучшаются, это угол Мири и больше-берцово-пяточный угол. Причем если показате-ли изначально больше 25° и 15° соответственно, то данные оперативные вмешательства малоэф-фективны [57].…”

Minimally Invasive Calcaneal Displacement Osteotomy Site Using a Reference Kirschner Wire: A Technique Tip

“…In addition, painful scarring can develop along the incision or involving the peroneal tendons. Finally, the medial neurovascular structures are vulnerable with this approach (6).…”