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The arthroereisis procedure in adult flexible flatfoot grade IIA due to insufficiency of posterior tibial tendon.
Ceccarini, P; Rinonapoli, G; Gambaracci, G; Bisaccia, M; Ceccarini, A; Caraffa, A.
Afiliación
  • Ceccarini P; Department of Orthopedics and Traumatology, SM Misericordia Hospital, University of Perugia, Italy. Electronic address: paoloceccarini84@gmail.com.
  • Rinonapoli G; Department of Orthopedics and Traumatology, SM Misericordia Hospital, University of Perugia, Italy. Electronic address: grinonapoli@yahoo.it.
  • Gambaracci G; Department of Radiodiagnostic, University of Perugia, Italy. Electronic address: Giulio.gambaracci@libero.it.
  • Bisaccia M; Department of Orthopedics and Traumatology, SM Misericordia Hospital, University of Perugia, Italy. Electronic address: michelebisa@yahoo.it.
  • Ceccarini A; Department of Orthopedics and Traumatology, SM Misericordia Hospital, University of Perugia, Italy. Electronic address: ceccarinialfredo@virgilio.it.
  • Caraffa A; Department of Orthopedics and Traumatology, SM Misericordia Hospital, University of Perugia, Italy. Electronic address: auro.caraffa@libero.it.
Foot Ankle Surg ; 24(4): 359-364, 2018 Aug.
Article en En | MEDLINE | ID: mdl-29409235
BACKGROUND: To report on the functional, biomechanical, and radiographic results of patients who had undergone arthroereisis plus tensioning of the posterior tibial tendon for flexible flatfoot. The hypothesis is that arthroereisis associated to a tensioning of the posterior tibial tendon give a good correction with great satisfaction in patients with flexible flatfoot in grade IIA. METHODS: We evaluated 29 patients (31 feet), mean age of 46.4 years, who had been surgically treated for adult flatfoot grade IIA according to Myerson. Mean follow-up was 34.15 months. For clinical evaluation, the AOFAS hindfoot and VAS-FA scores were used. RESULTS: Postoperative results showed significant increases in both AOFAS and VAS-FA scores: 54.2-81.9 and 61.5-83.2 points, respectively. For the X-ray parameters, we observed a significant variation in the talo-first metatarsal angle, from 13.8° in pre-op to 7.4° in post-op. In lateral view, Djian Annonier angle was improved from 146.6° to 134.1°. The Meary's angle, compared to an average of 8.8° in pre-operative stage improved to 4.3° in the post-operative stage. Postoperative satisfaction was excellent-good according to 23 patients (79.4%). Pain in the tarsal sinus was reported in 5 out of 31 feet (16.1%) for the first three months after surgery. CONCLUSIONS: Arthroereisis and tensioning of the posterior tibial tendon provided good functional outcomes for patients under 60 years of age having stage IIA flexible flatfoot without arthritic manifestations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pie Plano / Deformidades Adquiridas del Pie / Disfunción del Tendón Tibial Posterior Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Surg Asunto de la revista: ORTOPEDIA Año: 2018 Tipo del documento: Article Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pie Plano / Deformidades Adquiridas del Pie / Disfunción del Tendón Tibial Posterior Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Surg Asunto de la revista: ORTOPEDIA Año: 2018 Tipo del documento: Article Pais de publicación: Francia