TALONAVICULAR JOINT ARTHRODESIS AND MEDIAL DISPLACEMENT CALCANEAL OSTEOTOMY FOR TREATMENT OF PATIENTS WITH PLANOVALGUS DEFORMITY
G. O. Dubovik , N. V. Zagorodniy , V. G. Protsko , B. G. Butaev , S. K. Tamoev
Traumatology and Orthopedics of Russia ›› 2012, Vol. 18 ›› Issue (3) : 83 -88.
TALONAVICULAR JOINT ARTHRODESIS AND MEDIAL DISPLACEMENT CALCANEAL OSTEOTOMY FOR TREATMENT OF PATIENTS WITH PLANOVALGUS DEFORMITY
The aim of this study was to assess the results of talonavicular joint arthrodesis and medial displacement calcaneal osteotomy for surgical correction of pes planovalgus. Fourteenth patients with a pes planovalgus deformity were underwent surgery from February 2008 to December 2011. The mean age was 45,5. In 90% of cases, operations were performed on one foot, and 10% of cases at two feet. All patients were assessed before the operation with the scale of the American Orthopaedic Foot and Ankle Society (AOFAS). According to the AOFAS scale, the average improvement was 41 before the operation had reached values of 84.2 after the operation. Radiography showed an average decrease in the angle of the longitudinal arch from 12 and an average decrease in the angle of deviation between the vehicle collision and the calcaneus to 38°, increasing the height of a set of 5 mm. This combination of procedures allows greater correction and stability than either procedure performed alone, and provides a viable alternative to triple arthrodesis.
| [1] |
Carter S.R., Ruch J.A. Talo-navicular arthrodesis for adult flatfoot deformity. Reconstructive surgery of the foot and leg: Update '97 Tucker, (GA): Podiatry Institute, 1997: 248-255. |
| [2] |
Johnson K.A., Strom D.E. Tibialis posterior tendon dysfunction. Clin. Orthop. Relat. Res. 1989;239:196-206. |
| [3] |
Kitaoka H.B., Alexander I.J., Adelaar R.S., Nunley J.A., Myerson M.S., Sanders M. Clinical rating systems for the ankle hindfoot, midfoot, hallux, and lesser toes. Foot Ankle. 1994;15:349-353. |
| [4] |
Luther M. Strayer J.R. Gastrocnemius recession: five-year report of cases. J. Bone Joint Surg. 1958;40-A:1019-1030. |
| [5] |
Mothershed R.A., Stapp M.D., Smith T.F. Talonavicular arthrodesis for correction of posterior tibial tendon dysfunction. Clin Pod Med Surg. 1999;16 (3):501-526. |
| [6] |
Saltyman C.L., Fehrle M.J., Cooper R.R., Spencer E.C. Ponceti IV. Triple arthrodesis: twenty-five and forty-four-year average follow-up of the same patient. J Bone Joint Surg. 1999;10-A:1391-1402. |
| [7] |
Saxby T.S., Myerson M.S. Calcaneus osteotomy In: Myerson M.S., ed. Current therapy in foot and ankle surgery. St.Louis: Mosby-Year Book; 1993. p.159-162. |
| [8] |
Trnka H.-J., Easley M.E., Myerson M.S. The role of calcaneal osteotomy for the correction of adult flat foot. Clin Orthop.1999;365:50-64. |
| [9] |
Wacker J.T., Hennessy M.S., Saxby T.S. Calcaneal osteotomy and transfer of the tendon of flexor digitorum longus for stage-II dysfunction of tibialis posterior. J. Bone Joint Surg. 2002;84-B:54-58. |
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