AI Article Synopsis
- The study focuses on the importance of the spring ligament in maintaining foot arches and how its failure leads to adult acquired flatfoot deformity.
- Researchers analyzed the clinical and radiological outcomes of spring ligament repair combined with titanium wedges in 23 patients (average age 63) who had not responded to previous treatments.
- Results showed a significant improvement in functional performance (AOFAS score increased from 52 to 88) and positive changes in foot angles, indicating that this approach effectively treats stage IIB flatfoot deformity.
Article Abstract
Background And Aims: The spring ligament has paramount role in supporting the arches and its fail causes the collapse of the medial longitudinal arc, inducing adult acquired flatfoot deformity. Our aim was to analyze the clinical and radiological outcomes of spring ligament repair and titanium wedges integration used in surgical osteotomies.
Material And Methods: We performed a retrospective study of 23 cases with middle ages of 63, diagnosed with adult acquired flatfoot deformity stage IIB in RAM classification after ortho-prosthetic treatment failure, assessing the functional outcomes using the American Orthopedic Foot and Ankle Society scale and the radiological outcomes studying angles variation (talonavicular uncoverage, talo-first metatarsal angle and Meary axis).
Results: The mean preoperative American Orthopedic Foot and Ankle Society score of the sample was 52±10 and the postoperative 88±6 (p<0.05). The radiological outcomes showed a statistically significant improvement.
Conclusion: Spring ligament repair associated to bone reconstruction offers large functional and radiological outcomes to adult acquired flatfoot deformity stage IIB treatment. Titanium wedges present an excellent bone integration.
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| http://dx.doi.org/10.1016/j.recot.2022.08.008 | DOI Listing |
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