AI Article Synopsis
- Calcaneus lengthening is a surgical option for children with symptomatic flat feet, showing promising medium-term results based on a study of 20 cases.
- Most patients (13 out of 20) experienced significant clinical and radiological improvements after an average follow-up of 8.3 years, while 7 patients reported residual pain, particularly those who did not undergo a specific osteotomy.
- Adequate complementary bone and muscle procedures are crucial, especially if forefoot supination is present, as it can affect overall outcomes.
Article Abstract
Purpose: Calcaneus lengthening can be used in symptomatic flat foot in children, but few details on its medium-term results and complementary procedures are available.
Methods: A total of 20 flexible, symptomatic, idiopathic valgus flat feet (in 15 children; mean age 13.9 years (10 to 17)) were operated on. Complementary procedures were based on preoperative and intraoperative analyses. Radiographic measurements were obtained preoperatively and with at least four years follow-up.
Results: At a mean of 8.3 years (4 to 15) postoperatively, 13 feet had good clinical and radiological results, with significant improvement in American Orthopaedic Foot & Ankle Society Ankle-Hindfoot scale scores and radiological measurements. Seven feet had residual pain. Six of them had no osteotomy of the first cuneiform.
Conclusion: Calcaneus lengthening with adequate complementary musculo-tendinous and/or bone procedures according to preoperative and intraoperative foot deformation leads to good medium-term results. Forefoot supination is the most frequent residual defect. If present intraoperatively, first cuneiform pronation-flexion osteotomy is indicated.
Level Of Evidence: IV.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453174 | PMC |
| http://dx.doi.org/10.1302/1863-2548.14.200073 | DOI Listing |
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