Stage II flatfoot: what fails and why

Saar, William E.; Lee, Thomas H.; Berlet, Gregory C.

doi:10.1016/s1083-7515(03)00008-1

Cited by 22 publications

(30 citation statements)

References 38 publications

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“…Since then, the literature has supported the use of an LCL in order to reduce talonavicular uncoverage associated with stage II AAFD 1,4,9,17,19 . A recent biomechanical mechanical study by Zanoli et al (2014) demonstrated that flatfoot reconstructions incorporating an LCL provided substantial sagittal and midfoot deformity correction 20 .…”

Section: Discussionmentioning

confidence: 99%

Correlation of Postoperative Midfoot Position With Outcome Following Reconstruction of the Stage II Adult Acquired Flatfoot Deformity

et al. 2015

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Background No studies investigating the effect of midfoot (talonavicular joint) position on clinical outcomes following flatfoot reconstruction have been performed. The purpose of our study was to determine whether a postoperative abducted or adducted forefoot alignment, as determined from AP radiographs, was associated with a difference in outcomes using the Foot and Ankle Outcome Score (FAOS). Methods Midfoot abduction was defined on postoperative AP radiographs, evaluated at a mean of 1.9 years in 55 patients from the authors’ institution that underwent flatfoot reconstruction for stage II adult acquired flatfoot deformity (AAFD), as a lateral incongruency angle greater than 5 degrees, a talonavicular uncoverage angle greater than 8 degrees, and a talo-first metatarsal angle greater than 8 degrees based on previously reported measurements. Patients with two or more measurements in the abduction category were classified as the abduction group (n=30); those with one or fewer measurements in the abduction category were placed in the adduction group (n=25). Preoperative FAOS and postoperative FAOS with a mean follow-up of 3.1 years were compared using Wilcoxon rank-sum tests. Results Patients corrected to a position of adduction showed a significantly lower improvement in the FAOS daily activities (p=0.012) and quality of life subscales (p=0.046). Mean improvement in subscale score for the adducted group was lower for pain (p=0.052) and sports activities (p=0.085) but did not reach statistical significance. No significant difference in the FAOS symptoms subscale (p=0.372) between groups was found. Conclusions Correction of the talonavicular joint to a position of adduction following stage II AAFD is associated with decreased patient outcomes in daily activities and quality of life compared with an abducted position. These results suggest that overcorrection to a position of midfoot adduction leads to a lesser amount of individual patient improvement in the reconstruction of stage II AAFD. Level of Evidence Therapeutic Level III

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Section: Discussionmentioning

confidence: 99%

Correlation of Postoperative Midfoot Position With Outcome Following Reconstruction of the Stage II Adult Acquired Flatfoot Deformity

et al. 2015

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“…The procedure-related complications found in our case series using bioabsorbable screws were similar to studies using nonbioabsorbable screws. 17,18,19,28,37 Limitations This study focused on short-term postoperative follow-up on tendon transfers in the foot and ankle that utilized PLL screws. Longer follow-up analysis in the future would be helpful in advocating for or against the continued use of these types of screws.…”

Section: Discussionmentioning

confidence: 99%

“…Assorted donor tendons have been utilized in these procedures; most commonly the flexor digitorum longus (FDL), flexor hallucis longus (FHL), TP, and tibialis anterior (TA). 15,18,19,28,37 The technique for fixing the tendon in its new location can also vary, ranging from side-to-side tenodesis to utilization of bone tunnels followed by placement of a suture anchor or interference screw, or suturing the tendon back to itself.…”

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confidence: 99%

Complications After Tendon Transfers in the Foot and Ankle Using Bioabsorbable Screws

et al. 2013

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“…Диагностика и лечение плоско-валь-гусных деформаций в настоящее время осно-вана на принципе стадийности. Дисфункция сухожилия зББМ может варьировать от про-стого теносиновита до тяжелых фиксированных форм с наличием выраженного деформирую-щего артроза и нестабильности, которые могут присутствовать как в заднем и среднем отделах стопы, так и в голеностопном суставе [8,31,44]. И хотя диагностика плоскостопия довольно проста, тщательная идентификация различных аспектов деформации может вызывать опреде-ленные трудности [1,64].…”

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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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Stage II flatfoot: what fails and why

Cited by 22 publications

References 38 publications

Correlation of Postoperative Midfoot Position With Outcome Following Reconstruction of the Stage II Adult Acquired Flatfoot Deformity

Correlation of Postoperative Midfoot Position With Outcome Following Reconstruction of the Stage II Adult Acquired Flatfoot Deformity

Complications After Tendon Transfers in the Foot and Ankle Using Bioabsorbable Screws

Adult Acguired Flatfoot Deformity (Review)

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