[Translated article] Surgical treatment at adult acquired flatfoot stage IIB: Spring ligament repair.
Rev Esp Cir Ortop Traumatol
; 67(1): T62-T67, 2023.
Article
en En, Es
| MEDLINE
| ID: mdl-36375768
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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Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pie Plano
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adult
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Humans
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Middle aged
Idioma:
En
/
Es
Revista:
Rev Esp Cir Ortop Traumatol
Año:
2023
Tipo del documento:
Article
Pais de publicación:
España