2,592 results match your criteria Congenital Vertical Talus


International normative data for paediatric foot posture assessment: a cross-sectional investigation.

BMJ Open 2019 Apr 14;9(4):e023341. Epub 2019 Apr 14.

Podiatry, La Trobe University College of Science Health and Engineering, Bundoora, Victoria, Australia.

Objectives: The foot posture index (FPI) is an observational tool designed to measure the position of the foot. The objective of this study was to establish international reference data for foot posture across childhood, and influence of body mass index (BMI) on paediatric foot posture.

Design: Cross-sectional study. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023341DOI Listing

Tibial spastic varus foot caused by os calcaneus secundarius: A case report.

Foot (Edinb) 2019 Mar 25;39:92-95. Epub 2019 Mar 25.

Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.

Peroneal spastic flatfoot caused by tarsal coalition is well known; however, tibial spastic varus foot is a rare clinical entity also caused by tarsal coalition in most cases. The os calcaneus secundarius is a rare accessory bone between the anterior process of the calcaneus and the navicular bone. The case of a 29-year-old woman with tibial spastic varus foot caused by os calcaneus secundarius is presented. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592193000
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http://dx.doi.org/10.1016/j.foot.2019.03.010DOI Listing
March 2019
1 Read

The hind- and midfoot alignment computed after a medializing calcaneal osteotomy using a 3D weightbearing CT.

Int J Comput Assist Radiol Surg 2019 Mar 26. Epub 2019 Mar 26.

Department of Orthopaedics, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, OVL, Belgium.

Purpose: A medializing calcaneal osteotomy (MCO) is a surgical procedure frequently performed to correct an adult acquired flatfoot (AAFD) deformity. However, most studies are limited to a 2D analysis of 3D deformity. Therefore, the aim is to perform a 3D assessment of the hind- and midfoot alignment using a weightbearing CT (WBCT) preoperatively as well as postoperatively. Read More

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http://dx.doi.org/10.1007/s11548-019-01949-7DOI Listing

Deltoid-Spring Ligament Reconstruction in Adult Acquired Flatfoot Deformity With Medial Peritalar Instability.

Foot Ankle Int 2019 Mar 22:1071100719839176. Epub 2019 Mar 22.

1 Department of Orthopaedics and Rehabilitation, University of Rochester, Rochester, NY, USA.

Background:: A spring ligament tear is commonly present in advanced stages of adult acquired flatfoot deformity (AAFD). Previous anatomic studies have demonstrated that the superficial deltoid ligament blends with the superomedial spring ligament, forming the tibiocalcaneonavicular ligament (TCNL). Adding allograft TCNL reconstruction to osseous correction has been suggested to augment medial peritalar stability in advanced AAFD with large spring ligament tears. Read More

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http://dx.doi.org/10.1177/1071100719839176DOI Listing
March 2019
1 Read

The Incidence of Nonunion of the Naviculocuneiform Joint Arthrodesis:A Systematic Review.

J Foot Ankle Surg 2019 Mar 12. Epub 2019 Mar 12.

Faculty, Grant Medical Center, Columbus, OH; Fellowship-Trained Foot and Ankle Surgeon, Orthopedic Foot and Ankle Center, Westerville, OH; Residency Program Director, Grant Medical Center, Columbus, OH.

Naviculocuneiform (NC) joint arthrodesis is an effective procedure to treat pain and provide stability to the medial column. Various forms of fixation have been described for NC arthrodesis. Despite this, the available literature is scant and questions remain regarding nonunion rate and contributory factors. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.014DOI Listing
March 2019
6 Reads

Outcomes of Evans Versus Hintermann Calcaneal Lengthening Osteotomy for Flexible Flatfoot.

Foot Ankle Int 2019 Mar 13:1071100719835464. Epub 2019 Mar 13.

1 Department of Orthopedic Surgery, Hannover Medical School, Hannover, Germany.

Background:: Evans (E) and Hintermann (H) lateral lengthening calcaneal osteotomies (LLCOTs) are commonly used to correct flexible flatfoot deformities. Both methods are well accepted and produce good clinical results. The aim of this study was to compare the postoperative outcomes of both osteotomies. Read More

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http://dx.doi.org/10.1177/1071100719835464DOI Listing
March 2019
7 Reads

Technique Article: Tarsal Coalition Resection Using Kirschner Wires Across the Subtalar Joint in a Two-Incision Approach.

J Foot Ankle Surg 2019 Mar;58(2):337-340

Resident Physician, Department of Orthopedics, University of Oklahoma, Oklahoma City, OK. Electronic address:

Subtalar coalitions are a significant cause of morbidity, especially in the pediatric population. Arthrodesis was considered the standard of care, with coalitions involving >50% of the joint until the mid-1990s. Today, some are recommending resection of the coalition first and to save hindfoot arthrodesis as a salvage procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183039
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http://dx.doi.org/10.1053/j.jfas.2018.08.056DOI Listing
March 2019
10 Reads

Are there benefits of a 2D gait analysis in the evaluation of the subtalar extra-articular screw arthroereisis? Short-term investigation in children.

Clin Biomech (Bristol, Avon) 2019 Mar 27;63:73-78. Epub 2019 Feb 27.

Center for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg, Baldingerstraße, 35043 Marburg, Germany.

Background: A juvenile flexible flatfoot is a common abnormality during growth. For children with a pathological manifestation, subtalar extra-articular screw arthroereisis is a popular operative technique. Although this minimally invasive operation technique has been performed for >45 years, complications still occasionally occur. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2019.02.019DOI Listing

The effect of hydrodynamic insole on foot kinematics in individuals with flexible flatfoot: Case series using a single-subject design.

Proc Inst Mech Eng H 2019 Apr 7;233(4):407-413. Epub 2019 Mar 7.

2 Cardiff School of Health Sciences, Cardiff Metropolitan University, Cardiff, UK.

The medial longitudinal arch of the foot is a dynamic structure while walking. The mobility of this structure in people with flexible flatfoot is partially or completely absent. The aim of this study was to investigate the efficacy of an insole that was designed to retrieve the medial longitudinal arch mobility in people with flatfoot. Read More

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http://dx.doi.org/10.1177/0954411919831326DOI Listing
April 2019
1 Read
1.144 Impact Factor

Preliminary Outcomes of Calcaneal Lengthening in Adolescent Flatfoot in Müller-Weiss Disease.

Foot Ankle Int 2019 Mar 5:1071100719833928. Epub 2019 Mar 5.

1 Orthopedic Surgery, Faculty of Medicine, Benha University, Benha, Qalyubia, Egypt.

Background:: Müller-Weiss disease (MWD) remains a controversial painful foot condition without consensus on its pathogenesis or a gold standard treatment modality. The aim of the study was to evaluate the outcomes of calcaneal lengthening in adolescent patients with symptomatic MWD with flatfoot.

Methods:: The study included 13 feet of 7 patients including 5 females and 2 males who were treated from March 2012 until June 2015 by calcaneal lengthening. Read More

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http://dx.doi.org/10.1177/1071100719833928DOI Listing

Relationship of callosities of the forefoot with foot deformity, Health Assessment Questionnaire Disability Index, and joint damage score in patients with rheumatoid arthritis.

Mod Rheumatol 2019 Mar 5:1-6. Epub 2019 Mar 5.

c Department of Orthopedic Surgery , Tokyo Women's Medical University , Tokyo , Japan.

Objectives: We aimed to investigate the relationship of callosities of the forefoot with foot deformity, the Health Assessment Questionnaire Disability Index (HAQ-DI) and modified total Sharp score (TSS) in patients with rheumatoid arthritis (RA).

Methods: A total of 202 patients and 404 feet were enrolled. We examined the prevalence of callosities. Read More

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https://www.tandfonline.com/doi/full/10.1080/14397595.2019.1
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http://dx.doi.org/10.1080/14397595.2019.1589921DOI Listing
March 2019
8 Reads

Biomechanical Evaluation of Spring Ligament Augmentation With the FiberTape Device in a Cadaveric Flatfoot Model.

Foot Ankle Int 2019 Mar 1:1071100719828373. Epub 2019 Mar 1.

1 Department of Orthopaedic Surgery, Penn State Hershey Bone and Joint Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.

Background:: The structural importance of the spring ligament complex in arch stability has been described. Furthermore, the pathology of this complex is often noted in patients with posterior tibial tendon dysfunction. The purpose of this biomechanical study was to evaluate spring ligament repair alone versus augmentation with the FiberTape device in a cadaveric flatfoot model. Read More

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http://dx.doi.org/10.1177/1071100719828373DOI Listing

H-reflex in abductor hallucis and postural performance between flexible flatfoot and normal foot.

Phys Ther Sport 2019 Feb 19;37:27-33. Epub 2019 Feb 19.

School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Floor 3, No.17, Xuzhou Rd., Zhongzheng District, Taipei City, 100, Taiwan, ROC; Department of Physical Education, Fu Jen Catholic University, No.510, Zhongzheng Rd., Xinzhuang Dist., New Taipei City, 24205, Taiwan, ROC. Electronic address:

Objective: Morphological changes of the abductor hallucis muscle (AbH) in flexible flatfoot (FF) individuals influence regulations of the medial longitudinal arch (MLA). Prolonged and repeated stretching of AbH in flexible flatfoot may cause changes in muscle reflex properties and further influence postural performance. However, AbH muscle reflex under different postural conditions have never been examined. Read More

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http://dx.doi.org/10.1016/j.ptsp.2019.02.004DOI Listing
February 2019
1 Read

[Bone and soft tissue combined with surgery for the treatment soft flatfoot combined with painful navicular bone].

Zhongguo Gu Shang 2019 Jan;32(1):77-81

Sichuan Province Orthopaedics Hospital, Chengdu 610041, Sichua, China.

Objective: To explore short-term clinical effects of bone and soft tissue combined with surgery for the treatment of soft flatfoot accompanied with painful navicular bone.

Methods: From May 2015 to August 2017, 16 patients (16 feet) with navicular bone soft flatfoot accompanied with painful navicular bone were treated with bone and soft tissues operation (gastrocnemius release, medial displacement calcaneal osteotomy, and excision of accessory navicular with reconstruction of posterior tibial tendon). Among them, there were 9 males (9 feet) and 7 females (7 feet), aged from 22 to 48 years old with an average of (32. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.017DOI Listing
January 2019
1 Read

Comparison of screw fixation versus non-fixation in dorsal opening wedge medial cuneiform osteotomy of adult acquired flatfoot.

Foot Ankle Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Orthopedics and Traumatology, Taipei Veterans General Hospital and National Yang Ming University, Taipei, Taiwan; Department of Orthopedic Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address:

Background: The aim of this study was to compare the radiographic and functional results between fixation and non-fixation in the Cotton osteotomy for the treatment of adult acquired flatfoot.

Methods: A retrospective, case-controlled study of consecutive stage IIB posterior tibial tendon dysfunction (PTTD) patients treated with the same bony reconstructive surgery including cotton osteotomy between 2013 and 2017. Meary's angle, the medial arch sag angle (MASA), and medial cuneiform cobb angle (MCCA) were evaluated pre-operation, at first weight bearing after surgery, and 12 months post operation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731193002
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http://dx.doi.org/10.1016/j.fas.2019.01.011DOI Listing
February 2019
5 Reads

Surgical procedures for treatment of adult acquired flatfoot deformity: a network meta-analysis.

J Orthop Surg Res 2019 Feb 21;14(1):62. Epub 2019 Feb 21.

Department of Orthopedic Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, China.

Background: Adult acquired flatfoot deformity (AAFD) represents a spectrum of deformities affecting the foot and the ankle. The optimal management of AAFD remains controversial. We evaluated the efficacy of surgical treatments of AAFD using both direct and indirect evidences. Read More

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http://dx.doi.org/10.1186/s13018-019-1094-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385451PMC
February 2019
1 Read

Relationship between lower-extremity defects and body mass among polish children: a cross-sectional study.

BMC Musculoskelet Disord 2019 Feb 18;20(1):84. Epub 2019 Feb 18.

University of Physical Education and Sport in Gdansk, Gdansk, Poland.

Background: Lower extremity defects in healthy children raises interest of researchers as confirmed by numerous published original and review articles. The relationship between lower extremity postural defects and body mass are unclear as published data are inconclusive. The aim of the present cross-sectional study was to analyse the prevalence of lower extremity defects in a large group of 8- to 12-year-old children; and further to assess the probability of defects associated with values of body mass variables. Read More

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http://dx.doi.org/10.1186/s12891-019-2460-0DOI Listing
February 2019

Lateral Column Lengthening for Revision Triple and Double Arthrodesis and Severe End-Stage Flatfoot Deformity.

J Foot Ankle Surg 2019 Feb 8. Epub 2019 Feb 8.

Attending Physician, Kaiser Permanente San Leandro, San Leandro, CA.

Few options exist for the treatment of revision and severe cases of end-stage flatfoot deformity. Triple arthrodesis or medial-approach double arthrodesis have been the standard but often do not provide enough correction of the deformity. Lateral column lengthening is a powerful procedure performed either with an Evans calcaneal osteotomy or calcaneocuboid distraction arthrodesis that can be used as an adjunct in realigning the flatfoot. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.029DOI Listing
February 2019

Evaluation and Treatment of Posterior Tibialis Tendon Insufficiency in the Elderly Patients.

Geriatr Orthop Surg Rehabil 2019 24;10:2151459318821461. Epub 2019 Jan 24.

Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.

Introduction: Posterior tibialis tendon insufficiency is the most common cause of adult acquired flatfoot deformity in elderly patients. We performed a literature search of primary and secondary journal articles pertaining to posterior tibialis tendon insufficiency in the geriatric population. We examined relevant data from these articles regarding current evaluation in addition to both conservative and advanced treatment approaches that correspond to disease severity. Read More

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http://dx.doi.org/10.1177/2151459318821461DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348568PMC
January 2019
5 Reads

Lateral column lengthening versus subtalar arthroereisis for paediatric flatfeet: a systematic review.

Int Orthop 2019 May 30;43(5):1179-1192. Epub 2019 Jan 30.

Department of Orthopaedic Surgery, Korea University Ansan Hospital, 123, Jeokgeum-ro, Danwon-Gu, Ansan-si, Gyeonggi-do, 15355, South Korea.

Purpose: This systematic review aimed to compare radiographic correction, clinical outcomes, complications, and re-operations between lateral column lengthening (LCL) and arthroereisis (AR) for treating symptomatic flatfoot in children.

Methods: We conducted a comprehensive search on MEDLINE, EMBASE, and Cochrane Library databases. Literature search, data extraction, and quality assessment were conducted by two independent reviewers. Read More

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http://dx.doi.org/10.1007/s00264-019-04303-3DOI Listing

Anatomic study of the medial side of the ankle base on the joint capsule: an alternative description of the deltoid and spring ligament.

J Exp Orthop 2019 Jan 28;6(1). Epub 2019 Jan 28.

Department of Clinical Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Background: Adult acquired flatfoot deformity (AAFD) is caused by impaired medial ligamentous structures and posterior tibialis tendon dysfunction (PTTD). Although degeneration and trauma could separately cause AAFD, how these factors interact in the pathomechanism of AAFD is unclear. The joint capsule in the medial ankle is considered an important structure, providing passive stability by limiting joint movement. Read More

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http://dx.doi.org/10.1186/s40634-019-0171-yDOI Listing
January 2019
1 Read

Management of Müller-Weiss Disease.

Foot Ankle Clin 2019 Mar;24(1):89-105

Orthopaedic and Trauma Department, Complejo Hospitalario La Mancha Centro, Alcázar de San Juan, Avenida Constitucion 3, Ciudad Real 13600, Spain.

Müller-Weiss disease (MWD) is a dysplasia of the tarsal navicular. The shifting of the talar head laterally over the calcaneus drives the subtalar joint into varus. Failure to identify patients with paradoxic flatfoot varus may lead to the incorrect diagnosis and management. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.006DOI Listing
March 2019
1 Read

Analysis of the main passive soft tissues associated with adult acquired flatfoot deformity development: A computational modeling approach.

J Biomech 2019 Feb 9;84:183-190. Epub 2019 Jan 9.

Applied Mechanics and Bioengineering Group (AMB), Aragón Institute of Engineering Research (I3A), Universidad de Zaragoza, Spain.

Adult acquired flatfoot deformity (AAFD) is a pathology with a wide range of treatment options. Physicians decide the best treatment based on their experience, so the process is entirely subjective. A better understanding of soft tissue stress and its contribution in supporting the plantar arch could help to guide the clinical decision. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00219290193001
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http://dx.doi.org/10.1016/j.jbiomech.2018.12.047DOI Listing
February 2019
6 Reads

Postoperative Medial Cuneiform Position Correlation With Patient-Reported Outcomes Following Cotton Osteotomy for Reconstruction of the Stage II Adult-Acquired Flatfoot Deformity.

Foot Ankle Int 2019 Jan 18:1071100718822839. Epub 2019 Jan 18.

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

Background:: Residual supination of the midfoot during reconstruction of the stage II adult-acquired flatfoot deformity (AAFD) is often addressed with a medial cuneiform (Cotton) osteotomy after adequate correction of the hindfoot valgus deformity. The purpose of this study was to determine if there was a correlation between postoperative alignment of the medial cuneiform and patient-reported outcomes.

Methods:: Sixty-three feet in 61 patients with stage II AAFD who underwent a Cotton osteotomy as part of a flatfoot reconstruction were included the study. Read More

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http://dx.doi.org/10.1177/1071100718822839DOI Listing
January 2019
1 Read

Influence of Shoe Characteristics on the Development of Valgus Foot in Children.

J Clin Med 2019 Jan 12;8(1). Epub 2019 Jan 12.

Department Nursing and Podiatry, University of Malaga, 29071 Malaga, Spain.

For thousands of years, shoes have been worn to protect the feet from injury, and the proper choice and use of footwear are directly relevant to foot health, especially that of children. The aim of this study was to evaluate the association between shoe-related factors (type and frequency of use) and the prevalence of valgus foot in children. This analytical cross-sectional observational study was carried out on a population of children in the first, second or third year of primary education, to analyzing the frequency and type of shoes worn, and to determining the presence or not of valgus foot. Read More

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http://dx.doi.org/10.3390/jcm8010085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352257PMC
January 2019

Naviculocuneiform Arthrodesis in Adult Flatfoot: A Case Series.

J Foot Ankle Surg 2019 Mar 3;58(2):352-356. Epub 2019 Jan 3.

Attending Physician, Virginia Mason Medical Center, Seattle, WA.

Medial column arthrodesis and calcaneal osteotomies are commonly used for adult-acquired flatfoot surgical reconstruction. In this case series, 10 patients (11 feet) with a mean age of 54 ± 13 years underwent a medial column arthrodesis, with or without calcaneal osteotomy, between 2010 and 2017. The indication for surgery was a painful flatfoot deformity with peritalar subluxation and a fault in the naviculocuneiform joint. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183036
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http://dx.doi.org/10.1053/j.jfas.2018.08.027DOI Listing
March 2019
3 Reads

Outcomes of the calcaneo-stop procedure for the treatment of juvenile flatfoot in young athletes.

J Child Orthop 2018 Dec;12(6):582-589

Department of General Surgery and Medical Surgical Specialties - Section of Orthopaedics and Traumatology, University Hospital 'Policlinico-Vittorio Emanuele', University of Catania, Italy.

Purpose: Flexible flatfoot (FFF) is a widespread condition in juvenile patients. If symptomatic, FFF can require surgical treatment. The calcaneo-stop procedure has shown excellent clinical and radiographic outcomes and low rates of complications. Read More

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http://dx.doi.org/10.1302/1863-2548.12.180032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293325PMC
December 2018

Effectiveness of subtalar arthroereisis with endorthesis for pediatric flexible flat foot: a retrospective cross-sectional study with final follow up at skeletal maturity.

Foot Ankle Surg 2018 Dec 21. Epub 2018 Dec 21.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. Electronic address:

Background: Pediatric flexible flatfoot is sometimes asymptomatic but it can rarely cause physical impairment, pain, and difficulty walking. We evaluated the radiographic effectiveness of intervention of subtalar arthroereisis with endorthesis for pediatric flexible flatfoot with final follow-up at skeletal maturity.

Methods: This is a retrospective cross-sectional study. Read More

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http://dx.doi.org/10.1016/j.fas.2018.12.002DOI Listing
December 2018
1 Read

Tibialis posterior transfer for foot drop due to central causes: Long-term hindfoot alignment.

Orthop Traumatol Surg Res 2019 Feb 24;105(1):153-158. Epub 2018 Dec 24.

Université Lille-Nord-de-France, Lille, France; Service d'orthopédie B, hôpital Salengro, CHRU de Lille, place de Verdun, 59037 Lille cedex, France; Laboratoire d'anatomie, faculté de médecine Henri-Warembourg, université de Lille 2, 59045 Lille cedex, France.

Background: Tibialis posterior transfer (TPT) is the treatment most widely used to palliate foot drop due to dorsiflexor palsy. TPT has been extensively studied in patients with peripheral neurological causes of foot drop. In contrast, data are scarce on central foot drop, in which TPT is often blamed for causing flattening of the arches. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183037
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http://dx.doi.org/10.1016/j.otsr.2018.11.013DOI Listing
February 2019
16 Reads

Occurrence of Lateral Ankle Ligament Disease With Stage 2 to 3 Adult-Acquired Flatfoot Deformity Confirmed via Magnetic Resonance Imaging: A Retrospective Study.

J Foot Ankle Surg 2019 Mar 21;58(2):243-247. Epub 2018 Dec 21.

Director of Residency Training, Division of Foot & Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Lateral hindfoot pain associated with stage 2 to 3 adult-acquired flatfoot is often attributed to subfibular impingement. Preoperative magnetic resonance imaging (MRI) is generally performed to assess the extent of degeneration within the posterior tibial tendon, attenuation of medial soft tissue constraints, and degeneration of hindfoot and/or ankle articulations. The purpose of this study is to determine the incidence of lateral collateral ligament disease/injury associated with stages 2 and 3 adult-acquired flatfoot. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183037
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http://dx.doi.org/10.1053/j.jfas.2018.08.030DOI Listing
March 2019
3 Reads

Repair of the Deltoid Ligament Using Posterior Tibial Tendon Autograft:A Novel Technique.

J Foot Ankle Surg 2019 Jan;58(1):165-170

Faculty, Division of Foot & Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Posterior tibial tendon dysfunction (PTTD) is a progressive disorder secondary to advanced degeneration of the posterior tibial tendon, leading to the abduction of the forefoot, valgus rotation of the hindfoot, and collapse of the medial longitudinal arch. Eventually, the disease becomes so advanced that it begins to affect the deltoid ligament over time. This attenuation and eventual tear of the deltoid ligament leads to valgus deformity of the ankle. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.07.002DOI Listing
January 2019
1 Read

Three-dimensional displacement after a medializing calcaneal osteotomy in relation to the osteotomy angle and hindfoot alignment.

Foot Ankle Surg 2018 Dec 7. Epub 2018 Dec 7.

Department of Orthopaedic Surgery, Ghent University Hospital, De Pintelaan 185, 9000 Gent, Belgium; University Orthopaedic Center, University of Utah, 590 Wakara Way Salt Lake City, UT 84108, USA.

Background: A medializing calcaneal osteotomy is frequently performed to correct adult-acquired flatfoot deformities, but there is lack of data on the associated three-dimensional variables defining the final correction. The aim of this study was to assess the correlation between the pre-operative hindfoot valgus deformity and calcaneal osteotomy angles and the post-operative calcaneal displacement.

Methods: Weight-bearing CT scans obtained pre- and post-operatively were retrospectively analyzed for sixteen patients. Read More

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http://dx.doi.org/10.1016/j.fas.2018.11.015DOI Listing
December 2018
1 Read

Biomechanical stress analysis of the main soft tissues associated with the development of adult acquired flatfoot deformity.

Clin Biomech (Bristol, Avon) 2019 Jan 17;61:163-171. Epub 2018 Dec 17.

Applied Mechanics and Bioengineering Group (AMB), Aragón Institute of Engineering Research (I3A), Universidad de Zaragoza, Spain.

Background: Adult acquired flatfoot deformity (AAFD) is traditionally related to a tibialis posterior tendon deficiency. In the intermediate stages, treatments are commonly focused on reinforcing this tissue, but sometimes the deformation appears again over time, necessitating the use of more aggressive options. Tissue stress cannot be consistently evaluated through traditional experimental trials. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2018.12.009DOI Listing
January 2019
1 Read

Calcaneal lateral column lengthening osteotomy for symptomatic flexible flatfoot in children and adolescents: a systematic review.

Rev Col Bras Cir 2018 Dec 13;45(6):e1969. Epub 2018 Dec 13.

Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Biomecânica, Medicina e Reabilitação do Aparelho Locomotor, Ribeirão Preto, SP, Brasil.

Flexible flatfoot is a common condition in small children, which shows a strong tendency to spontaneously correct with their growth or to become moderate or mild in adults, which will not cause future problems. However, in a small number of cases, this condition is more severe, does not improve spontaneously, which may cause mechanical impairment, deformity, and, eventually, pain. In such cases, surgical treatment should be considered. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/0100-6991e-20181969DOI Listing
December 2018
1 Read

Bilateral Congenital Vertical Talus in Association with Beals Contractural Arachnodactyly: A Case Report.

JBJS Case Connect 2018 Oct-Dec;8(4):e97

Southland Hospital/University of Otago, Invercargill, New Zealand.

Case: Congenital vertical talus (CVT) is a rare rigid flatfoot disorder with a rocker-bottom flatfoot appearance. It is characterized by hindfoot valgus and equinus, with associated midfoot dorsiflexion and forefoot abduction. We describe a patient who was born with dysmorphic features and subsequently was diagnosed with Beals contractural arachnodactyly. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00107DOI Listing
December 2018

Spring ligament tear decreases static stability of the ankle joint.

Clin Biomech (Bristol, Avon) 2019 Jan 27;61:79-83. Epub 2018 Nov 27.

Department of Orthopaedic Surgery, University of Rochester, Rochester, NY, USA. Electronic address:

Background: Spring ligament tear is often found in advanced adult acquired flatfoot deformity and its reconstruction in conjunction with the deltoid ligament has been proposed to restore the tibiotalar and talonavicular joint stability. The aim of the present study is to determine the effect of spring ligament injury and subsequent reconstruction on static joint reactive force using a non-invasive method of measurement.

Methods: Ten fresh-frozen human cadaveric lower legs were disarticulated at the knee joint. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02680033183097
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http://dx.doi.org/10.1016/j.clinbiomech.2018.11.011DOI Listing
January 2019
25 Reads

Effects of selective strengthening of tibialis posterior and stretching of iliopsoas on navicular drop, dynamic balance, and lower limb muscle activity in pronated feet: A randomized clinical trial.

Phys Sportsmed 2018 Dec 5:1-11. Epub 2018 Dec 5.

b Rehabilitation Research Chair, College of Applied Medical Sciences , King Saud University , Riyadh , Saudi Arabia.

Objectives: Flexibility and strength are compromised in pronated feet, which could in turn lead to alteration of the dynamic balance and muscle activity in the lower extremities. This study aimed to analyze the effects of selective tibialis posterior strengthening and iliopsoas stretching on navicular drop, dynamic balance, and lower limb muscle activity in young adults with pronated feet.

Methods: Twenty-eight participants with pronated feet were randomly assigned to either the stretching and strengthening group (n = 14) or the conventional exercise group (n = 14). Read More

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https://www.tandfonline.com/doi/full/10.1080/00913847.2018.1
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http://dx.doi.org/10.1080/00913847.2018.1553466DOI Listing
December 2018
39 Reads

Remodeling of the Calcaneocuboid Joint in the Acquired Flatfoot.

Authors:
Arthur Manoli

J Surg Orthop Adv Fall 2018;27(3):237-245

Michigan International Foot and Ankle Center, St. Joseph Mercy Hospital - Oakland, Pontiac, Michigan; Departments of Orthopaedic Surgery, Wayne State University, Detroit, Michigan, and Michigan State University College of Osteopathic Medicine, East Lansing, Michigan; e-mail:

There has been debate recently as to whether the lateral column is actually short in the acquired flatfoot. Doubters argue that it is not possible for the lateral column to change in length and actually shorten, especially in the acquired type. In this series of 21 consecutive patients operated on for an acquired flatfoot, the calcaneocuboid joint (CC) had remodeled in all, resulting in the calcaneal side being short, facing laterally and dorsally. Read More

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February 2019
1 Read

Chronic deltoid ligament insufficiency repair with Internal Brace™ augmentation.

Foot Ankle Surg 2018 Nov 5. Epub 2018 Nov 5.

Department of Orthopaedic Surgery, Hospital Clinico Universidad de Chile, Clinica Universidad de Los Andes, Santos Dumont 999, Independencia, Santiago, 7640275, Chile. Electronic address:

Background: Patients with chronic deltoid ligament insufficiency (CDLI) present a challenging situation. Although numerous procedures have been described, optimal treatment is still a matter of debate. While the treatment armamentarium ranges from simple ligament repair to complex reconstructions with or without realignment osteotomies, direct repair augmented with an Internal Brace™ device appears to be an attractive intermediate option. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183012
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http://dx.doi.org/10.1016/j.fas.2018.10.004DOI Listing
November 2018
14 Reads

Hindfoot alignment of adult acquired flatfoot deformity: A comparison of clinical assessment and weightbearing cone beam CT examinations.

Foot Ankle Surg 2018 Nov 5. Epub 2018 Nov 5.

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 601 North Caroline Street, Baltimore, MD 21287, United States.

Background: Clinical assessment of hindfoot alignment (HA) in adult acquired flatfoot deformity (AAFD) can be challenging and weightbearing (WB) cone beam CT (CBCT) may potentially better demonstrate this three-dimensional (3D) deformity. Therefore, we compared clinical and WB CBCT assessment of HA in patients with AAFD.

Methods: In this prospective study, we included 12 men and 8 women (mean age: 52. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183030
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http://dx.doi.org/10.1016/j.fas.2018.10.008DOI Listing
November 2018
21 Reads

Identifying Risk Factors for 30-Day Readmissions After Triple Arthrodesis Surgery.

J Foot Ankle Surg 2019 Jan 15;58(1):109-113. Epub 2018 Nov 15.

Surgeon, Department of Orthopedic Surgery, Albert Einstein Medical Center, Philadelphia, PA.

Rigid flatfoot deformity is a debilitating condition that can be managed by triple arthrodesis surgery. Triple arthrodesis has the potential to restore health-related quality of life, but it is also associated with several complications. Few studies have examined the 30-day readmission rates after triple arthrodesis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183036
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http://dx.doi.org/10.1053/j.jfas.2018.08.025DOI Listing
January 2019
20 Reads

Biologically Enhanced Hamstring Tendon Transfer for Treatment of Acute Rupture of Posterior Tibialis Tendon in an Athlete: Case Report.

J Foot Ankle Surg 2018 Nov 15. Epub 2018 Nov 15.

Surgeon, Department of Orthopedic Surgery, Sports Medicine, Bellevue University Medical Center, Mansourieh, Lebanon.

We report the case of a 32-year-old basketball player who presented with an acute flatfoot deformity after performing a unipodal power jump. Rupture of the posterior tibial tendon within the foot was diagnosed and then treated by hamstring tendon transfer combined with application of autologous biologic preparations. The functional outcome at 18 months was good. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183029
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http://dx.doi.org/10.1053/j.jfas.2018.07.014DOI Listing
November 2018
14 Reads

Incidence and Risk Factors of Foot and Ankle Disorders in Male Finnish Conscripts.

Mil Med 2018 Nov 13. Epub 2018 Nov 13.

Department of General Practice, University of Helsinki, Helsinki, Finland.

Introduction: Many studies focusing on musculoskeletal disorders or injuries have been performed in countries where the army is recruited as volunteers. Little is known about foot and ankle disorders among young men in conscript armies.

Materials And Methods: We studied the incidence and risk factors of foot and ankle disorders in 4,029 Finnish army male conscripts of the same age among five different cohorts born in 1969, 1974, 1979, 1984, or 1989. Read More

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https://academic.oup.com/milmed/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/milmed/usy297DOI Listing
November 2018
11 Reads

Spring Ligament Instability.

Foot Ankle Clin 2018 Dec 22;23(4):659-678. Epub 2018 Sep 22.

Department of Orthopedic Surgery, Universidad de Chile, 1027 Independencia, Santiago 8380453, Chile; Department of Orthopedic Surgery, Hospital Clinico Universidad de Chile, Santos Dumont 999, Independencia, Santiago 8380456, Chile; Clinica Universidad de los Andes, Plaza 2501, Santiago 7620157, Chile.

The crucial role of the spring ligament complex within the pathologic process that leads to flatfoot deformity has evolved recently. There has been improvement in the anatomic knowledge of the spring ligament and understanding of its complex relationship to the deltoid complex and outstanding advances in biomechanics concepts related to the spring ligament. Optimization of flatfoot treatment strategies are focused on a renewed interest in the spring ligament and medial soft tissue reconstruction in concert with bony correction to obtain an adequate reduction of the talonavicular deformity and restoration of the medial longitudinal arch. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.012DOI Listing
December 2018
2 Reads

Kinematic differences between neutral and flat feet with and without symptoms as measured by the Oxford foot model.

Gait Posture 2019 01 13;67:213-218. Epub 2018 Oct 13.

Oxford Gait Laboratory, Nuffield Orthopaedic Centre (Oxford University Hospitals NHS Foundation Trust), Windmill Road, Headington, Oxford, OX3 7HE, UK. Electronic address:

Background: Flatfoot is a common presentation in children. It is usually asymptomatic, though a small number of children experience pain. Foot function during flatfoot walking is rarely considered, yet as an activity that places significant demands on the feet, this could explain the differences in terms of symptoms. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09666362183025
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http://dx.doi.org/10.1016/j.gaitpost.2018.10.015DOI Listing
January 2019
11 Reads

The Design and Application of Simplified Insole-Based Prototypes with Plantar Pressure Measurement for Fast Screening of Flat-Foot.

Sensors (Basel) 2018 Oct 25;18(11). Epub 2018 Oct 25.

Graduate Institute of Biomedical Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan.

This study aimed to find the correlation between conventional Arch Index (AI) measurements and our prototype of a simplified insole-based plantar pressure measurement system and to find out the effective plantar pressure sensor position. Twenty-one subjects participated in this study, which was divided into two groups: 10 subjects with flatfoot and 11 subjects with normal foot. Five force sensitive resistance sensors were used on this prototype using Arduino as the data acquisition device. Read More

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http://dx.doi.org/10.3390/s18113617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263767PMC
October 2018

Long-Term Results of the "Horseman" Procedure for Severe Idiopathic Flatfoot in Children: A Retrospective Analysis of 41 Consecutive Cases With Mean 8.9 Year Duration of Follow-Up.

J Foot Ankle Surg 2019 Jan 16;58(1):10-16. Epub 2018 Oct 16.

(1)Surgeon, Department of Orthopedic Pediatrics, Necker-Enfants Malades Hospital, University Paris-Descartes, Paris, France(2)Professor, Department of Orthopedic Pediatrics, Necker-Enfants Malades Hospital, University Paris-Descartes, Paris, France(3)Associate Professor, Department of Orthopedic Pediatrics, Necker-Enfants Malades Hospital, University Paris-Descartes, Paris, France. Electronic address:

The "horseman" procedure is a surgical technique used to correct the talocalcaneal joint displacement of severe idiopathic flatfoot in children while maintaining the reduction with a temporary talocalcaneal screw. While this technique has been used since the early 1960s, very little has been reported on its results. Our objectives were to estimate the correction, functional results, and postoperative complications of the "horseman" procedure. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.05.008DOI Listing
January 2019
4 Reads

Validation of normalized truncated navicular height as a clinical assessment measure of static foot posture to determine flatfoot in children and adolescents: A cross sectional study.

Foot (Edinb) 2018 Dec 23;37:85-90. Epub 2018 May 23.

Faculty of Physical Therapy, Cairo University, Cairo, Egypt.. Electronic address:

Background: Reliability of clinical measures of static foot posture has been widely debated. However, validity of these measures has not been fully established especially in a pediatric population. The purpose of the study was to investigate reliability and validity of normalized truncated navicular height (NTNH) in assessment of static foot posture to determine flatfoot in children and adolescents using radiographic measures as a criterion gold standard measure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592183001
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http://dx.doi.org/10.1016/j.foot.2018.05.001DOI Listing
December 2018
12 Reads

Acute effect of foot orthoses on frequency domain of ground reaction forces in male children with flexible flatfeet during walking.

Foot (Edinb) 2018 Dec 29;37:77-84. Epub 2018 May 29.

Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy. Electronic address:

Background: Flatfoot is a structural and functional abnormality of the foot that may cause lower limb mechanical damage during walking. The aim of this study was to investigate the acute effect of foot orthoses on the frequency domain of ground reaction forces in children with flatfeet during the stance phase of walking.

Methods: Bilateral gait data were collected from fifteen male children suffering from flatfeet syndrome. Read More

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http://dx.doi.org/10.1016/j.foot.2018.05.003DOI Listing
December 2018
5 Reads

First ray mobility and posterior tibial tendon dysfunction (PTTD) in persons with flatfoot: A case control study.

Foot (Edinb) 2018 Dec 3;37:57-60. Epub 2018 Aug 3.

Physical Education and Sports Science Academic Group, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, 637616, Singapore. Electronic address:

Background: While posterior tibial tendon dysfunction (PTTD) commonly presents with flat feet and has been thought to be associated with first ray mobility, many flat-footed individuals are asymptomatic and do not experience any symptoms of PTTD. Thus, there is a need to control for foot type when studying factors related to PTTD. This study aimed to clarify if first ray mobility differed between flat-footed individuals with and without symptoms of PTTD. Read More

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http://dx.doi.org/10.1016/j.foot.2018.08.001DOI Listing
December 2018
5 Reads