577 results match your criteria Acquired Flatfoot


Finite element analysis of subtalar joint arthroereisis on adult-acquired flexible flatfoot deformity using customised sinus tarsi implant.

J Orthop Translat 2021 Mar 5;27:139-145. Epub 2020 Mar 5.

The Hong Kong Polytechnic University Shenzhen Research Institute, Shenzhen, China.

Background: Subtalar arthroereisis may cause sinus tarsi pain complications. In this study, we aimed to introduce a customised implant that facilitated treatment effect and less impingement. The biomechanical outcome between the intact and implant conditions was compared using finite element analysis. Read More

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Double hindfoot arthrodesis using a single-incision medial approach in the correction of adult-acquired flatfoot deformity: a case series.

Int Orthop 2021 May 8. Epub 2021 May 8.

Head of Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil.

Background: Hindfoot arthrodesis is used in patients with advanced-stage acquired flatfoot, usually associated with degenerative joint disease. The objective of the present study was to evaluate the clinical and radiographic results of hindfoot arthrodesis using the single-incision medial approach.

Methods: A case series of 18 consecutive patients undergoing surgical correction between 2015 and 2018 with hindfoot arthrodesis using the medial approach was evaluated. Read More

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An unusual presentation of acute isolated spring ligament injury in an adolescent: A case report.

Foot (Edinb) 2021 Apr 19;47:101807. Epub 2021 Apr 19.

Oasis Orthopaedic & Sonography Clinic, Hadapsar, Pune, Maharashtra, 411028, India. Electronic address:

Spring ligament is an important stabilizing soft tissue structure on the plantar aspect of calcaneo-navicular joint. It is principal stabilizing structure to maintain the medial longitudinal arch during weight bearing. Attenuation of spring ligament along with tibialis posterior tendon deficiency usually results in adult acquired flat foot. Read More

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Medial displacement calcaneal osteotomy versus lateral column lengthening to treat stage II tibialis posterior tendon dysfunction, a prospective randomized controlled study.

Foot (Edinb) 2021 Apr 7;47:101798. Epub 2021 Apr 7.

Orthopedic Department, Assiut University Hospital, Assiut, Egypt. Electronic address:

Purpose: Adult-acquired flatfoot deformity (AAFD) requires optimum planning that often requires several procedures for deformity correction. The objective of this study was to detect the difference between MDCO versus LCL in the management of AAFD with stage II tibialis posterior tendon dysfunction regarding functional, radiographic outcomes, efficacy in correction maintenance, and the incidence of complications.

Patient And Methods: 42 Patients (21 males and 21 females) with a mean age of 49. Read More

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Double versus triple arthrodesis for adult-acquired flatfoot deformity due to stage III posterior tibial tendon insufficiency: a prospective comparative study of two cohorts.

Int Orthop 2021 Apr 25. Epub 2021 Apr 25.

Orthopedic Department, Assiut University, Assiut, Egypt.

Purpose: The study aims to prospectively compare double and triple arthrodesis in terms of functional outcomes and deformity correction. To the best of our knowledge, this is the first prospective comparative study in the literature to date.

Methods: This is a prospective comparative cohort study carried out between May 2017 and May 2019. Read More

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Lateral open wedge calcaneus osteotomy with bony allograft augmentation in adult acquired flatfoot deformity. Clinical and radiological results.

Eur J Orthop Surg Traumatol 2021 Feb 12. Epub 2021 Feb 12.

Orthopaedic Clinic, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genova, Italy.

The aim of this study is to evaluate the results of patients underwent lateral open wedge calcaneus osteotomy with bony allograft augmentation combined with tibialis posterior and tibialis anterior tenodesis. Twenty-two patients underwent adult-acquired flatfoot deformity were retrospectively evaluated with a minimum 2-year follow-up. Radiographic preoperative and final comparison of tibio-calcaneal angle, talo-first metatarsal and calcaneal pitch angles have been performed. Read More

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February 2021

[Adult Acquired Flatfoot Deformity: Diagnosis and Surgical Treatment].

Z Orthop Unfall 2021 Feb 10. Epub 2021 Feb 10.

The adult acquired flatfoot is a deformity with slow progression, which may leads to pain and restrictions of activities of daily living if untreated. Various treatment strategies, depending on the clinical and radiological presentation, exist. Therefore, an individual therapy approach is necessary for optimal treatment. Read More

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February 2021

Outcomes Following the Use of Subtalar Arthroereisis in the Correction of Adult Acquired Flatfoot: A Systematic Review.

Foot Ankle Spec 2021 Jan 29:1938640020987775. Epub 2021 Jan 29.

Ashford and St Peter's Hospitals NHS Trust, Chertsey, UK.

Background: Adult acquired flatfoot deformity (AAFD) is a condition affecting approximately 3% of the adult population. It can lead to severe morbidity, and therefore, prompt treatment is of the upmost importance in maintaining and restoring function. Recently, the use of subtalar arthroereisis has become more widespread in the treatment of AAFD. Read More

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January 2021

How does the postoperative medial arch height influence the patient reported outcomes of stage Ⅱ acquired adult flatfoot deformity?

J Orthop Sci 2021 Jan 25. Epub 2021 Jan 25.

Department of Orthopedic Surgery, Tokyo Women's Medical University, 8-1 Kawadacho, Shinjuku-ku, Tokyo, 162-0054, Japan.

Background: This study aimed to assess how the postoperative medial arch height influenced postoperative patient-reported clinical outcomes after surgery for stage Ⅱ acquired adult flatfoot deformity.

Methods: A total of 30 feet of 30 patients (7 males, 23 females) who underwent surgery for stage Ⅱ acquired adult flatfoot deformity and could be followed up for at least 2 years were included. The average age at surgery was 60. Read More

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January 2021

Three-Dimensional Distance and Coverage Maps in the Assessment of Peritalar Subluxation in Progressive Collapsing Foot Deformity.

Foot Ankle Int 2021 Jan 27:1071100720983227. Epub 2021 Jan 27.

Department of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.

Background: Progressive collapsing foot deformity (PCFD), formerly termed , is a complex 3-dimensional (3D) deformity of the foot characterized by peritalar subluxation (PTS). PTS is typically measured at the posterior facet, but recent studies have called this into question. The objective of this study was to use 3D distance mapping (DM) from weightbearing computed tomography (WBCT) to assess PTS in patients with PCFD and controls. Read More

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January 2021

Medial Displacement Calcaneal Osteotomy for Unilateral Adult Acquired Flatfoot: Effects of Minimally Invasive Surgery on Pain, Alignment, Functioning, and Quality of Life.

J Foot Ankle Surg 2021 Mar-Apr;60(2):358-361. Epub 2020 Dec 3.

Assistant Professor of Orthopaedics, Clinical Orthopaedics, Department of Medical and Surgical Specialties, University of Campania "Luigi Vanvitelli", Naples, Italy.

We aimed to assess the effects of medial displacement calcaneal osteotomy (MDCO) through a minimal skin incision in terms of pain, function, and alignment in patients with unilateral adult acquired flatfoot. American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scale and Numeric Pain Rating Scale (NPRS) were assessed as outcomes at the baseline (T0), at 6 months (T1), and at 1 year (T2) from surgery. We analyzed data of 20 patients (7 male and 13 female), mean aged 46. Read More

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December 2020

Combined weightbearing CT and MRI assessment of flexible progressive collapsing foot deformity.

Foot Ankle Surg 2020 Dec 9. Epub 2020 Dec 9.

The Hospital for Special Surgery, New York, NY, US.

Background: The objective of this study was to evaluate the correlation between Weightbearing CT (WBCT) markers of pronounced peritalar subluxation (PTS) and MRI findings of soft tissue insufficiency in patients with flexible Progressive Collapsing Foot Deformity (PCFD). We hypothesized that significant correlation would be found.

Methods: Retrospective comparative study with 54 flexible PCFD patients. Read More

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December 2020

Arthrodesis for chronic lateral subtalar joint dislocation caused by posterior tibial tendon dysfunction: A case report.

Int J Surg Case Rep 2021 Jan 2;78:21-25. Epub 2020 Dec 2.

Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima City, Tokushima, 770-8503, Japan. Electronic address:

Introduction: Adult acquired flatfoot deformity (AAFD) caused by posterior tibial tendon dysfunction (PTTD) can lead to the development of peritalar subluxation (PTS) and much more rarely to lateral subtalar dislocation.

Presentation Of Case: A 75-year-old woman was referred to our hospital with an approximately 15-year history of pain in her right foot without obvious trauma. The lateral shifting foot deformity had worsened in the previous 5 years. Read More

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January 2021

Preoperative Patient-Reported Outcome Measures Relationship With Postoperative Outcomes in Flexible Adult-Acquired Flatfoot Deformity.

Foot Ankle Int 2021 Mar 4;42(3):268-277. Epub 2020 Nov 4.

Foot and Ankle Service, Hospital for Special Surgery, New York, NY, USA.

Background: Previous studies have demonstrated that procedure-specific thresholds using preoperative patient-reported outcome scores may be used to predict postoperative outcomes. The primary purpose of this study was to determine if preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) thresholds could be used to predict which patients would clinically improve at 2 years postoperatively following reconstruction of their flexible adult-acquired flatfoot deformity (AAFD).

Methods: PROMIS physical function, pain interference, and depression scores were prospectively collected preoperatively and at a minimum of 2 years postoperatively for 75 feet with flexible AAFD. Read More

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[Adult acquired flatfoot].

Authors:
Jörn Dohle

Orthopade 2020 11;49(11):941

OGAM Orthopädie, Alter Markt 9-13, 42275, Wuppertal, Deutschland.

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November 2020

Treatment concepts for pes valgoplanus with concomitant changes of the ankle joint : Tibiotalocalcaneal arthrodesis, total ankle replacement and joint-preserving surgery.

Orthopade 2020 Nov;49(11):991-999

Foot and Ankle Reconstruction Unit of the Orthopaedic Department, St. Maartenskliniek, Hengstdal 3, 6574, Ubbergen, NA, The Netherlands.

Concomitant valgus deformities of the ankle joint are found in approximately 3% of patients with symptomatic flat foot deformities. Conservative treatment is mostly successful only in the short term or in low-demand patients. The operative treatment of flat foot deformities follows the standard algorithm for flat foot treatment. Read More

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November 2020

[Etiology, pathogenesis, clinical features, diagnostics and conservative treatment of adult flatfoot].

Orthopade 2020 Nov;49(11):942-953

Orthopädische Klinik, Klinikum Dortmund, Dortmund, Deutschland.

Background: On average, one in six adults is affected by an acquired flatfoot. This foot deformity is characterized by its progression of stages and in 10% of cases causes complaints that require treatment. Untreated, the loss of walking ability may result in the final stage. Read More

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November 2020

[Joint-preserving surgical correction of advanced flexible planovalgus deformity of the adult foot].

Authors:
Jörn Dohle

Orthopade 2020 Nov;49(11):976-984

OGAM Orthopädie, Alter Markt 9-13, 42275, Wuppertal, Deutschland.

Background: Adult acquired flatfoot deformity is characterized by a progressive functional deficit of the foot that leads to an eversion of the subtalar joint complex with heel valgus, abduction of the forefoot and collapse of the medial arch. In the case of a flexible deformity, a joint-preserving operative reconstruction is advisable, which should correct all elements of the deformity. A calcaneal lengthening osteotomy can correct excessive abduction of the forefoot, which can be measured by the amount of talar head uncoverage visible on AP weight-bearing x‑rays of the foot. Read More

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November 2020

[Arthrodesis for the treatment of rigid flatfoot].

Authors:
Hans-Jörg Trnka

Orthopade 2020 Nov;49(11):985-990

Fusszentrum Wien, Alserstr. 43/8d, 1080, Wien, Österreich.

In the case of a rigid flatfoot deformity, joint-preserving techniques like soft-tissue balancing and osteotomies do not achieve acceptable results. This is the indication for arthrodesis. The selection of the arthrodesis depends on the amount of deformity, localisation of the rigidity and the general health status of the patient. Read More

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November 2020

[Adult acquired flatfoot deformity-operative management for the early stages of flexible deformities].

Orthopade 2020 Nov;49(11):954-961

Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie Köln Merheim, Köln, Deutschland.

Flexible adult acquired flatfoot deformity includes a wide spectrum of fore- and hindfoot pathologies and remains a complex clinical challenge. Clinical history, inspection and accurate physical examination are paramount for diagnosis. Early stages of flexible adult acquired flatfoot deformity present with increased hindfoot valgus and medial arch collapse. Read More

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November 2020

Posterior Tibial Tendon Integrity Can Be Screened With Plain Anteroposterior Foot Radiography.

Orthopedics 2020 Nov 3;43(6):e503-e507. Epub 2020 Sep 3.

Posterior tibial tendon integrity is an important consideration when treating adult-acquired flatfoot caused by posterior tibial tendon dysfunction. The condition of this tendon traditionally has been evaluated with ultrasonography or magnetic resonance imaging, but recent advances in radiography have increased the resolution of radiographic soft tissue images. The authors examined whether the posterior tibial tendon could be screened with anteroposterior foot radiographs, based on interobserver agreement and accuracy. Read More

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November 2020

Minimally invasive technique for stage III adult-acquired flatfoot deformity: a mid- to long-term retrospective study.

Int Orthop 2021 01 1;45(1):217-223. Epub 2020 Sep 1.

University Hospital Virgen del Rocío, Avda Manuel Siurot s/n, CP 41011, Sevilla, Spain.

Purpose: The purpose of this study was to present the functional, radiological, and quality of life outcomes of a series of stage III adult-acquired flatfoot deformity corrections using an original operative approach based on minimal incision surgery (MIS).

Methods: Sixty-two patients (67 feet) with a symptomatic stage III flatfoot deformity were treated using a modified double arthrodesis by MIS. The mean age was 63 years (range, 50 to 81) and the mean follow-up was 6. Read More

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January 2021

Titrating the Amount of Bony Correction in Progressive Collapsing Foot Deformity.

Foot Ankle Int 2020 Oct 1;41(10):1292-1295. Epub 2020 Sep 1.

University of Washington, Seattle, WA, USA.

Recommendation: There is evidence indicating that the amount of bony correction performed in the setting of progressive collapsing foot deformity reconstructive surgery can be titrated within a recommended range for a variety of procedures. The typical range when performing a medial displacement calcaneal osteotomy should be 7 to 15 mm of medialization of the tuberosity. The typical range when performing an Evans lateral column lengthening should be 5 to 10 mm of a laterally based wedge in the anterior calcaneus. Read More

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October 2020

Classification and Nomenclature: Progressive Collapsing Foot Deformity.

Foot Ankle Int 2020 Oct 28;41(10):1271-1276. Epub 2020 Aug 28.

Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.

Recommendation: The historical nomenclature for the adult acquired flatfoot deformity (AAFD) is confusing, at times called posterior tibial tendon dysfunction (PTTD), the adult flexible flatfoot deformity, posterior tibial tendon rupture, peritalar instability and peritalar subluxation (PTS), and progressive talipes equinovalgus. Many but not all of these deformities are associated with a rupture of the posterior tibial tendon (PTT), and some of these are associated with deformities either primarily or secondarily in the midfoot or ankle. There is similar inconsistency with the use of classification schemata for these deformities, and from the first introduced by Johnson and Strom (1989), and then modified by Myerson (1997), there have been many attempts to provide a more comprehensive classification system. Read More

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October 2020

Consensus for the Use of Weightbearing CT in the Assessment of Progressive Collapsing Foot Deformity.

Foot Ankle Int 2020 Oct 27;41(10):1277-1282. Epub 2020 Aug 27.

Hospital for Special Surgery, New York, NY, USA.

Recommendation: There is evidence that the use of imaging aids in the assessment of progressive collapsing foot deformity (PCFD). The following conventional radiographs (CRs) are necessary in the assessment of PCFD patients: anteroposterior (AP) foot, AP or mortise ankle, and lateral foot. If available, a hindfoot alignment view is strongly recommended. Read More

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October 2020

Consensus for the Indication of Lateral Column Lengthening in the Treatment of Progressive Collapsing Foot Deformity.

Foot Ankle Int 2020 Oct 27;41(10):1286-1288. Epub 2020 Aug 27.

Kantonspital Baselland, Liestal, Switzerland.

Recommendation: Progressive collapsing foot deformity (PCFD) is a complex 3D deformity with varying degrees of hindfoot valgus, forefoot abduction, and midfoot supination. Although a medial displacement calcaneal osteotomy can correct heel valgus, it has far less ability to correct forefoot abduction. More severe forefoot abduction, most frequently measured preoperatively by assessing talonavicular coverage on an anteroposterior (AP) weightbearing conventional radiographic view of the foot, can be more effectively corrected with a lateral column lengthening procedure than by other osteotomies in the foot. Read More

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October 2020

Indications for Deltoid and Spring Ligament Reconstruction in Progressive Collapsing Foot Deformity.

Foot Ankle Int 2020 Oct 27;41(10):1302-1306. Epub 2020 Aug 27.

Washington University School of Medicine, St. Louis, MO, USA.

Recommendation: There is evidence supporting medial soft tissue reconstruction, such as spring and deltoid ligament reconstructions, in the treatment of severe progressive collapsing foot deformity (PCFD). We recommend spring ligament reconstruction to be considered in addition to lateral column lengthening or subtalar fusion at the initial operation when those procedures have given at least 50% correction but inadequate correction of the severe flexible subluxation of the talonavicular and subtalar joints. We also recommend combined flatfoot reconstruction and deltoid reconstruction be considered as a joint sparing alternative in the presence of PCFD with valgus deformity of the ankle joint if there is 50% or more of the lateral joint space remaining. Read More

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October 2020

Progressive Collapsing Foot Deformity: Consensus on Goals for Operative Correction.

Foot Ankle Int 2020 Oct 27;41(10):1299-1302. Epub 2020 Aug 27.

Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Recommendation: In the treatment of progressive collapsing foot deformity (PCFD), the combination of bone shape, soft tissue failure, and host factors create a complex algorithm that may confound choices for operative treatment. Realignment and balancing are primary goals. There was consensus that preservation of joint motion is preferred when possible. Read More

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October 2020

Consensus for the Indication of a Medializing Displacement Calcaneal Osteotomy in the Treatment of Progressive Collapsing Foot Deformity.

Foot Ankle Int 2020 Oct 26;41(10):1282-1285. Epub 2020 Aug 26.

Hospital for Special Surgery, New York, NY, USA.

Recommendation: There is evidence that the medial displacement calcaneal osteotomy (MDCO) can be effective in treating the progressive collapsing foot deformity (PCFD). This juxta-articular osteotomy of the tuberosity shifts the mechanical axis of the calcaneus from a more lateral position to a more medial position, which provides mechanical advantage in the reconstruction for this condition. This also shifts the action of the Achilles tendon medially, which minimizes the everting deforming effect and improves the inversion forces. Read More

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October 2020