RESUMO
Treatment of adult acquired flexible flat foot deformity can be problematic. Triple arthrodesis for structural correction has been the standard of care, thus sacrificing hind foot motion. The objective of this study was to assess the value of double calcaneal osteotomies in improving structural alignment while maintaining hind foot motion, which may further protect the function of adjacent motion segments. Double calcaneal osteotomies (Evans osteotomy and posterior calcaneal displacement osteotomy) were performed on 17 feet of 14 patients. Postoperative follow-up showed significant improvement in clinical foot and ankle scores.
Assuntos
Tendão do Calcâneo/cirurgia , Calcâneo/cirurgia , Pé Chato/cirurgia , Osteotomia/métodos , Tendão do Calcâneo/diagnóstico por imagem , Adolescente , Adulto , Fios Ortopédicos , Calcâneo/diagnóstico por imagem , Pé Chato/diagnóstico por imagem , Pé Chato/fisiopatologia , Seguimentos , Articulações do Pé/fisiologia , Humanos , Masculino , Osteotomia/instrumentação , Estudos Prospectivos , Radiografia , Amplitude de Movimento Articular/fisiologia , Estudos Retrospectivos , Resultado do Tratamento , Adulto JovemRESUMO
The aim of this study was to evaluate the results of minimally invasive percutaneous plate osteosynthesis (MIPPO) of distal femoral fractures in elderly diabetic patients with osteoporotic bone. Thirteen supracondylar or intercondylar femoral fractures were treated by MIPPO with a locked plate without bone grafting. All fractures healed, with only one delayed union in a patient who had deep infection. Results were evaluated using Schatzker and Lambert's criteria; all patients had excellent, moderate or good results except one with a poor result. Minimally invasive percutaneous locked plating provided favorable results in the treatment of distal femoral fractures in this geriatric population.
