Incidence of Plantar Lateral Foot Pain before and after the Use of Trial Metal Wedges in Lateral Column Lengthening

Abstract

The incidence of plantar lateral foot discomfort overall was 11.2% after LCL. We believe this risk may be reduced using trial metal wedges, properly judging eversion stiffness and carefully assessing the position of the foot intraoperatively.

Reconstruction of the Spring Ligament With a Posterior Tibial Tendon Autograft: Technique Tip

“…These include lateral column pain, stiffness, nonunion, and calcaneo-cuboid joint arthrosis. 3,9 While reconstruction of the spring ligament with a posterior tibial tendon autograft may not be as powerful at correcting talonavicular joint uncoverage, it may help avoid these potential complications in patients with stage IIb flatfoot deformity.…”

“…[5][6][7][8]10,13,17 Several reconstructive options have been described for the spring ligament, both in clinical studies as well as in cadaveric models. 1,2,4,7,9,[12][13][14][18][19][20] These involve either direct imbrication of the ligament with reinforcement or routing of tendons through bone tunnels. In almost all of these tendon procedures, at least 2 or more bone tunnels are required.…”

Current concepts in adult acquired flatfoot deformity

“…22 Chan et al 37 evaluated multiple preoperative and postoperative variables to find that correction of hindfoot valgus alignment is primarily determined by MCO and can be modeled linearly. 8,16,25,39 LCL increases lateral pressure. Overall, very good outcomes have been reported in stage IIa with correction of heel valgus with a medial slide osteotomy, but questions remain about how accessory procedures such as first metatarsal fusion, Cotton osteotomy affect outcomes.…”

“…7 Although some form of LCL is probably necessary in patients with severe, stage II deformity, complications can occur with this procedure including nonunion, lateral pain, and stiffness. 39 The key probably lies in using enough LCL to correct excess eversion and medial pressure but maintain normal eversion and avoid excessive lateral plantar pressure. 38 The incidence of lateral pain after LCL has been discussed in multiple studies.…”

Adult Acguired Flatfoot Deformity (Review)

“…К другим проблемам, возникающим после данной операции, можно отнести замедленную консолидацию в месте остеотомии в результате использования ауто-или аллотрансплантатов, стрессовые переломы V плюсневой кости, а так-же тугоподвижность в результате гиперкоррек-ции [22,65]. Интересная работа была представ-лена J. Vosseller с соавторами в 2013 г. Авторы провели сравнительную оценку 126 удлинений переднего отростка пяточной кости (операция Evans) с использованием ауто-и аллотран-сплантатов, выполненных у 120 пациентов.…”