Naviculocuneiform Arthrodesis in Adult Flatfoot: A Case Series.
J Foot Ankle Surg
; 58(2): 352-356, 2019 Mar.
Article
em En
| MEDLINE
| ID: mdl-30612870
ABSTRACT
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. At a mean of 9.9 (range 2.5 to 33.1) months after surgery, in patients who underwent a medial column arthrodesis, radiographs showed a mean decrease in the talonavicular coverage angle of 8.4° ± 8.5° (pâ¯=â¯.013), and mean increases in the lateral talometatarsal and calcaneal inclination angle of 10.6° ± 10.3° (pâ¯=â¯.002) and 2.2° ± 4.4° (pâ¯=â¯.067), respectively. One nonunion (1 of 11 [9.1%]) occurred at the naviculocuneiform. These findings demonstrate marked improvement of radiographic flatfoot parameters after medial column arthrodesis.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Artrodese
/
Calcâneo
/
Pé Chato
/
Ossos do Tarso
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article