Foot pressure and radiographic outcome measures of lateral column lengthening for pes planovalgus deformity

Oeffinger, Donna; Pectol, Richard W; Tylkowski, Chester

doi:10.1016/s0966-6362(00)00075-8

Cited by 49 publications

(33 citation statements)

References 19 publications

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“…This was achieved by using anatomical markers projected on the footprint to determine sub-areas, and not relying on a ''normal'' alignment of the foot. Determination of transverse sections was in agreement with those defined previously, including hindfoot, midfoot and forefoot (with the toes included with the forefoot) [8][9][10][11][12][13]. However, the position of the dividing line between the segments was based on the position of markers on the foot, and therefore differed in principle to other methods.…”

Section: Discussionsupporting

confidence: 55%

Assessment of sub-division of plantar pressure measurement in children

et al. 2005

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Section: Discussionsupporting

confidence: 55%

Assessment of sub-division of plantar pressure measurement in children

et al. 2005

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“…with previous studies [7,19]. Furthermore, it is difficult to assess the clinical outcomes of calcaneal lengthening because this procedure was performed as one of the singleevent multilevel surgeries to improve gait pattern.…”

Section: Discussionmentioning

confidence: 95%

Calcaneal Lengthening for Planovalgus Foot Deformity in Patients With Cerebral Palsy

Sung

Chung

Lee

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Calcaneal lengthening has been used to correct planovalgus foot deformities in patients with cerebral palsy (CP). Questions/purposes This study was performed to investigate the amount of correction that can be achieved after calcaneal lengthening for the treatment of a planovalgus deformity in patients with CP and to provide cutoff values based on the preoperative radiographic measurements that suggest additional procedures to achieve satisfactory correction. Methods Seventy-five consecutive patients with CP who underwent calcaneal lengthening for planovalgus deformity were included. Radiographic indices were measured on preoperative and latest followup weightbearing foot radiographs. The cutoff values of the preoperative radiographic measurements between the corrected and undercorrected groups were analyzed. The cutoff values are the reference values that can judge the possibilities of sufficient correction of a planovalgus deformity by calcaneal lengthening. Results The mean age of the patients at the time of surgery was 11.0 ± 5.2 years and the minimum followup was 1.0 years (mean, 3.1 ± 2.2 years; range, 1.0-8.4 years). AP talus-first metatarsal angle, calcaneal pitch angle, talocalcaneal angle, lateral talus-first metatarsal angle, and naviculocuboid overlap showed major improvements after calcaneal lengthening. The cutoff values of preoperative measurements between the corrected and undercorrected groups were 23°AP talus-first metatarsal angle, 36°lateral talus-first metatarsal angle, and 72% naviculocuboid overlap. Conclusions Calcaneal lengthening with concomitant peroneus brevis lengthening is an effective procedure for correcting a planovalgus foot deformity in patients with CP. However, for patients with greater than 23°AP talusfirst metatarsal angle, 36°lateral talus-first metatarsal angle, and 72% naviculocuboid overlap, additional procedures for medial stabilization, such as tibialis posterior tendon reefing and talonavicular arthrodesis, should be considered as a result of the possibility of undercorrection with calcaneal lengthening alone.

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“…Other authors have subsequently confirmed the efficacy of the calcaneal lengthening osteotomy for relieving pain and correcting deformity in painful flatfeet [118][119][120][121][122][123][124][125][126].…”

Section: Treatmentmentioning

confidence: 99%

Flexible flatfoot in children and adolescents

Mosca

2010

Journal of Children's Orthopaedics

258

229

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Flexible flatfoot is a normal foot shape that is present in most infants and many adults. The arch elevates spontaneously in most children during the first decade of life. There is no evidence that a longitudinal arch can be created in a child's foot by any external forces or devices. Flexible flatfoot with a short Achilles tendon, in contrast to simple flexible flatfoot, is known to cause pain and disability in some adolescents and adults. Joint-preserving, deformity-correcting surgery is indicated in flexible flatfeet with short Achilles tendons when conservative measurements fail to relieve pain under the head of the plantar flexed talus or in the sinus tarsi area. Osteotomy is the fundamental and central procedure of choice. In almost all cases, Achilles tendon lengthening is required. In some cases, rigid supination deformity of the forefoot is present, requiring identification and concurrent treatment.

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Foot pressure and radiographic outcome measures of lateral column lengthening for pes planovalgus deformity

Cited by 49 publications

References 19 publications

Assessment of sub-division of plantar pressure measurement in children

Assessment of sub-division of plantar pressure measurement in children

Calcaneal Lengthening for Planovalgus Foot Deformity in Patients With Cerebral Palsy

Flexible flatfoot in children and adolescents

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