Radiographic changes of the mid-tarsal joint after calcaneal lengthening for planovalgus foot deformity.
Foot Ankle Surg
; 26(1): 110-115, 2020 Jan.
Article
en En
| MEDLINE
| ID: mdl-30611558
ABSTRACT
BACKGROUND:
This study evaluate the radiographic changes in the mid-tarsal joint, including the calcaneocuboid and talonavicular (TN) joints after calcaneal lengthening for planovalgus deformity in children.METHODS:
This study included 38 patients (68 feet) who underwent calcaneal lengthening for planovalgus deformity. Radiographic osteoarthritic changes at the CC or TN joint were defined as modified Kellgren-Lawrence grade of ≥1.RESULTS:
Among the 68 feet, 31 feet (45.6%) showed radiographic osteoarthritic changes at the CC joint and 20 (29.4%) showed changes at the TN joint. Risk of radiographic osteoarthritic changes at the CC joint was associated with increased age at surgery (OR = 1.2, p = 0.038). Risk of radiographic osteoarthritic changes at the TN joint was associated with increased age at surgery (OR = 2.2; p = 0.002), preoperative AP talus-1st metatarsal angle (OR = 1.1; p = 0.044), and degree of CC subluxation (OR = 2.1; p = 0.007).CONCLUSIONS:
Surgeons should consider the risk factors in the surgical correction of planovalgus deformity to prevent mid-tarsal arthritis.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Articulaciones Tarsianas
/
Deformidades del Pie
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Calcáneo
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Child
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Child, preschool
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Female
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Humans
Idioma:
En
Año:
2020
Tipo del documento:
Article