Double calcaneal osteotomy and percutaneous tenoplasty for adequate arch restoration in adult flexible flat foot

Basioni, Yehia; El-Ganainy, Abdel-Rahman; El-Hawary, Ahmed

doi:10.1007/s00264-010-1071-z

Cited by 16 publications

(12 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…23 Short-term follow-up of calcaneal osteotomies has shown clear gains in foot function measured with the AOFAS scale. 2 In a long-term follow-up study (mean 51 months; range 38-62 months), open calcaneal osteotomies were reported to improve the AOFAS score from 48.8 preoperatively to 85.5 postoperatively, and to have a reduction in the VAS scores from 7.3 to 1.7. 23 The reported improvements in the pre- and postoperative (3-5 year) VAS scores are comparable to the short-term improvements in our study.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Neurovascular and Clinical Outcomes of the Percutaneous Endoscopically Assisted Calcaneal Osteotomy (PECO) Technique to Correct Hindfoot Malalignment

et al. 2018

View full text Add to dashboard Cite

Background: Standard open calcaneal osteotomies to correct hindfoot malalignment have been associated with high complication rates, including nerve damage and wound infection. This has resulted in the development of minimally invasive techniques such as the percutaneous endoscopically assisted calcaneal osteotomy (PECO), which in cadaver studies has been shown to be potentially safer than open surgeries. The aim of this study was to demonstrate the safety and effectiveness of PECO in a clinical setting, with regard to neurovascular injury rates, infection, and short-term radiographic and functional outcomes. Methods: Forty-one (41) patients with planovalgus or cavovarus foot deformities underwent treatment using PECO. Outcomes were analyzed at 6 months and primarily included neurovascular outcomes and wound infection rates. Secondarily, radiographic and functional (visual analog scale for pain [VAS], 36-Item Short Form Medical Outcomes Survey [SF-36], and Foot Function Index [FFI] scores) outcomes were also assessed. Results: There were no reported cases of superficial wound infections, lateral calcaneal or sural nerve dysesthesia. Minor complications occurred in 6/41 feet. The mean postoperative hindfoot correction was 8.3 ± 2.2 mm (range: 6-15mm) compared to preoperative status. Compared to preoperative status, significant improvements ( P = .001 for all) were seen in the VAS, SF-36, and FFI at 6 months postoperatively. Conclusions: PECO resulted in minimal complications with no lateral calcaneal or sural nerve dysesthesias and no wound complications. It also resulted in significant improvements in postoperative radiographic and functional outcomes from baseline to 6-months postoperatively, demonstrating its use as a safe and effective means of treating hindfoot malalignment. Level of Evidence: Level IV, retrospective case series.

show abstract

Section: Discussionmentioning

confidence: 97%

“…By restoring foot alignment and the weight bearing axis it has been shown that not only are peak pressures diminished in the hindfoot, but functional outcomes can be significantly improved in a variety of pathologies. 2,10,11…”

mentioning

confidence: 99%

Neurovascular and Clinical Outcomes of the Percutaneous Endoscopically Assisted Calcaneal Osteotomy (PECO) Technique to Correct Hindfoot Malalignment

et al. 2018

View full text Add to dashboard Cite

show abstract

“…A variety of fixation techniques have been reported for the double calcaneal osteotomy (1,2,8,9,11). However, revision is often required because of pain caused by bony nonunion (12).…”

Section: Discussionmentioning

confidence: 99%

“…Multiple investigators have discussed using a 3.5-mm cortical screw across the Evans osteotomy site combined with two parallel 6.5-mm cancellous screws across the medial displacement calcaneal osteotomy site (7,8). Other investigators have detailed the use of two percutaneous Kirschner wires (9). In addition, successful outcomes with the use of unilateral rail external fixation have been documented (10).…”

mentioning

confidence: 99%

Double Calcaneal Osteotomy Using Single, Dual-function Screw Fixation Technique

DiDomenico¹,

Haro²,

Cross

2011

The Journal of Foot and Ankle Surgery

View full text Add to dashboard Cite

“…We report the outcomes of double calcaneal osteotomy for severe adolescent flexible flatfoot reconstruction, which was rarely reported before. Limited articles reported the outcomes of double calcaneal osteotomy for treatment of adult flatfoot [ 5 – 7 ], and there is no article reported this method used in adolescent patients. In this study, all patients were older than 14 with hindfoot valgus angle larger than 15° and talonavicular coverage angle larger than 20°.…”

Section: Introductionmentioning

confidence: 99%

Double calcaneal osteotomy for severe adolescent flexible flatfoot reconstruction

Cao

et al. 2017

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundThe timing and strategy of treatment for flatfoot still remain controversial. It is a difficult problem when facing severe adolescent flexible flatfoot because a single procedure cannot realign flatfoot deformity effectively.MethodsWe reviewed 13 adolescent flexible flatfoot patients who underwent double calcaneal osteotomy during May 2012 to June 2015. The mean age of patients was 15.2 ± 1.8 (range, 10–18) years. The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot (AOFAS-AH) scores and SF-36 score were adopted to evaluate the preoperative and postoperative functions of the foot. Changes of hindfoot valgus angles, talonavicular uncoverage angles on AP view and talo-first metatarsal angles, and talar pitch angles and calcaneal pitch angles on the lateral film before and after surgery were measured.ResultsAll 13 patients (15 ft) were followed. The mean duration of follow-up was 34.5 ± 15.7 (range, 21–60) months. The hindfoot valgus angle improved from 16.5 ± 4.1 to 2.9 ± 1.6. On the foot AP view, the mean preoperative and postoperative talonavicular coverage angles were 24.9 ± 8.5 and 6.5 ± 3.6. On the lateral view of the foot, the average preoperative and postoperative talo-first metatarsal angles were 18.1 ± 5.5 and 4.9 ± 4.4. The mean preoperative and postoperative talar pitch angles were 36.4 ± 4.7 and 24.0 ± 5.6. The AOFAS-AH score improved from 68.9 ± 12.3 preoperatively to 94.6 ± 3.9 postoperatively.ConclusionWith additional procedures, double calcaneal osteotomy was an effective method for severe adolescent flexible flatfoot.

show abstract

Double calcaneal osteotomy and percutaneous tenoplasty for adequate arch restoration in adult flexible flat foot

Cited by 16 publications

References 17 publications

Neurovascular and Clinical Outcomes of the Percutaneous Endoscopically Assisted Calcaneal Osteotomy (PECO) Technique to Correct Hindfoot Malalignment

Neurovascular and Clinical Outcomes of the Percutaneous Endoscopically Assisted Calcaneal Osteotomy (PECO) Technique to Correct Hindfoot Malalignment

Double Calcaneal Osteotomy Using Single, Dual-function Screw Fixation Technique

Double calcaneal osteotomy for severe adolescent flexible flatfoot reconstruction

Contact Info

Product

Resources

About