Calcaneocuboid distraction arthrodesis is regarded as an excellent and reliable surgical procedure for correction of pes planovalgus. Despite a potentially high complication rate, the use of an autologous iliac crest graft is regarded as the method of choice. In a prospective trial the results in 12 feet after calcaneocuboid distraction arthrodesis for pes planovalgus correction with allogenic bone graft were investigated. The mean age was 64 (52-81) years. An angle-stable plate was generally used for fixation of the arthrodesis. Successful bone healing was diagnosed clinically if local pain was absent during weight bearing, forefoot manipulation and palpation. The AOFAS score improved from 58.9 (+/- 6) points preoperatively to 89.8 (+/- 6.3) points 12 months postoperatively and the Visual Analogue Pain Scale (VAS) from 5.1 (+/- 1.4) to 0.7 (+/- 1) 12 months postoperatively. On radiological analysis, the lateral and dorsoplantar talometatarsal axis, hindfoot axis, the navicular floor distance and talonavicular coverage angle improved considerably. Bone fusion was observed in 11 of 12 cases postoperatively. In conclusion, the use of an allogenic graft for calcaneocuboid distraction arthrodesis did not result in a higher pseudarthrosis rate compared with results reported after use of an autologous iliac crest graft. Fixation with an angle-stable plate is recommended.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Delayed Distraction Bone Block Arthrodesis for a Sanders IV Calcaneus Fracture Nonunion Using Tricortical Iliac Crest Allograft and Reamer/Irrigator/Aspirator Femoral Autograft.
J Orthop Trauma
August 2022
Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, NY; and.
We present the surgical technique for arthrodesis of the subtalar and calcaneocuboid joints of a Sanders type IV calcaneal fracture nonunion via a distraction bone block arthrodesis technique with tricortical iliac crest allograft combined with reamer/irrigator/aspirator autograft from the patient's femur. A lateral extensile approach to the calcaneus was used for the exposure, which allowed the surgeon to follow the stepwise complex surgical plan outlined here. Calcaneal nonunions are difficult to treat, but good outcomes can be achieved if proper technique with bone grafting is used.
View Article and Find Full Text PDFOsteoarthritis of the Fourth and Fifth Tarsometatarsal Joint After Calcaneo-Cuboid Distraction Arthrodesis in Flatfoot Correction.
J Foot Ankle Surg
June 2022
Department of Orthopaedic Surgery, Kanazawa University Hospital, Kanazawa, Japan.
Lateral column lengthening procedures are typically performed in patients with flatfoot deformity. There have been reports of complications caused by lateral column lengthening. In this study, clinical and radiographic osteoarthritis of the fourth and fifth tarsometatarsal joints were retrospectively assessed as complications after lateral column lengthening.
View Article and Find Full Text PDFLateral Column Lengthening For Flexible Adult Acquired Flatfoot: Systematic Review and Meta-Analysis.
J Foot Ankle Surg
July 2023
Consultant Podiatric Surgeon, Department of Podiatric Surgery, Ilkeston Hospital, Ilkeston, United Kingdom.
Flexible Adult Acquired Flatfoot is known to have multiplanar components and can often be a challenge to manage in the clinical setting, with resistance to non-surgical intervention. Lateral Column Lengthening is a favorable option for surgical management, although there are several methods in achieving this, an opening wedge osteotomy of the anterior calcaneus or distraction arthrodesis of the calcaneocuboid joint appear to be the 2 most widespread. In this review we conducted in systematic fashion, analysis of the available literature utilizing the following electronic bibliographic databases, in line with the PRISMA-P checklist: MEDLINE, CINHAL, EMBASE, and the Cochrane library without date restriction up to November 1, 2019.
View Article and Find Full Text PDFBackground: Although lengthening of the lateral column through an osteotomy of the anterior calcaneus is an integral component of flatfoot reconstruction in younger patients with flexible planovalgus deformities, the procedure has been implicated in iatrogenic calcaneocuboid (CC) subluxation and subsequent degenerative changes at the CC articulation. The purpose of this study is to characterize alterations at the CC joint after lateral column lengthening (LCL) and determine if Steinmann pin stabilization of the CC joint before distraction maintains a normal relationship.
Methods: Seven matched pairs of fresh-frozen cadaveric feet underwent preprocedure plain radiography and cross-sectional computed tomography (CT) imaging.
Calcaneocuboid distraction arthrodesis for children with symptomatic pes planovalgus: does fixation improve outcomes?
J Pediatr Orthop B
May 2021
Pediatric Orthopedic Surgery, Shriners Hospitals for Children, Greenville, South Carolina, USA.
Lateral column lengthening is a common surgical procedure for addressing symptomatic pes planovalgus foot deformity. For more severe cases, the use of a calcaneocuboid distraction arthrodesis (CCDA) can allow for more powerful correction. Previous reports have cited an increased risk of graft collapse with loss of correction when this procedure is performed without supplemental hardware fixation.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!