1. Pre and Postoperative Analysis of Flatfoot Reconstruction Sparing the Talonavicular Joint
- Author
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Maqdooda Merchant, Yaseer Parupia, Silas Klaver, Matthew Cobb, Sandeep Patel, and Zachary Haas
- Subjects
medicine.medical_specialty ,Radiography ,Subtalar arthrodesis ,Tarsal Joints ,03 medical and health sciences ,0302 clinical medicine ,Retrospective analysis ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Child ,Retrospective Studies ,030222 orthopedics ,business.industry ,Infant ,Mean age ,030229 sport sciences ,Surgical correction ,Flatfoot ,Flatfoot deformity ,Osteotomy ,Surgery ,Calcaneus ,Treatment Outcome ,Child, Preschool ,Talonavicular joint ,business - Abstract
Surgical correction of a flatfoot deformity is controversial. The purpose of our study was to evaluate the structural radiographic changes of the flatfoot deformity while maintaining the mobile adapter of the foot. We conducted a retrospective analysis of 56 patients that underwent this procedure comparing their pre- to postoperative angular changes during a follow-up period. The mean age of our study cohort was 53.6 (range, 20-77) years and mean follow-up period was 23 (range, 4-73) months. Radiographic union was achieved in 48 patients (86%). Forty-six patients (82%) had all required radiographs completed through final follow-up visit. We illustrated statistically significant changes to the talonavicular, Meary, talocalcaneal, calcaneal inclination, and talar declination angles, and navicular height at 3 months and final follow-up. This study suggests surgical correction of the flatfoot deformity that fused the subtalar but spared the talonavicular joint appears to achieve and maintain radiographic angular changes and achieve union. more...
- Published
- 2021
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