دورية أكاديمية
أعرض في EDS

Surgical management of severe planovalgus foot deformity in children with generalised joint hypermobility.

التفاصيل البيبلوغرافية
العنوان: Surgical management of severe planovalgus foot deformity in children with generalised joint hypermobility.
المؤلفون: Alhassan MS; Department of Orthopaedic Surgery, King Fahad Huhuf Hospital, Al Hofuf 36441, Saudi Arabia. Electronic address: drmsalhassan@gmail.com., Park BK; Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, Busan 48108, Republic of Korea. Electronic address: pedpbk@paik.ac.kr., Shah M; Department of Orthopaedic Surgery, Surya hospital, Mumbai 400054, India. Electronic address: mudit.ortho@gmail.com., Park KB; Division of Pediatric Orthopaedic Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. Electronic address: pedoskbp@yuhs.ac., Park H; Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Republic of Korea. Electronic address: hoondeng@yuhs.ac., Rhee I; Department of Orthopaedics, Eastern Health, Melbourne, VIC 3128, Australia. Electronic address: isaac.rhee@gmail.com., Kim HW; Division of Pediatric Orthopaedic Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. Electronic address: pedhkim@yuhs.ac.
المصدر: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2024 Jul 14. Date of Electronic Publication: 2024 Jul 14.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: France NLM ID: 9609647 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1460-9584 (Electronic) Linking ISSN: 12687731 NLM ISO Abbreviation: Foot Ankle Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: [London] : Elsevier Ltd.
Original Publication: Paris : Arnette Blackwell, c1996-
مستخلص: Background: This study aimed to evaluate the outcomes of calcaneal lengthening osteotomy (CLO) and double arthrodesis of the talonavicular and calcaneocuboid joints (DA) for correcting planovalgus foot deformity exclusively in patients with generalised joint hypermobility.
Methods: We retrospectively reviewed 29 feet in 17 consecutive patients who underwent either CLO or DA. The mean age at surgery was 11.3 ± 2.3 years, and the mean follow-up duration was 7.7 ± 3.2 years. Preoperative and final follow-up radiographs and dynamic foot-pressure measurements were analysed.
Results: Both operations significantly improved the radiographic parameters, except for the lateral talocalcaneal angle in the CLO group. Pedobarographic study demonstrated an elevation of the medial longitudinal arch and an improved foot-pressure distribution after both surgeries. The plantar pressure in the lateral forefoot significantly increased only in the DA group, while the pressures exerted on the medial forefoot and hindfoot and the arch index improved only in the CLO group.
Conclusions: Both CLO and DA effectively improve the foot alignments of the deformity in patients with generalised joint hypermobility. However, differences were observed in the changes in the lateral talocalcaneal angle and plantar pressure distribution between the two procedures.
Level of Evidence: Therapeutic Level III.
Competing Interests: Declaration of Competing Interest The authors declare that they have no conflict of interest.
(Copyright © 2024 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.)
فهرسة مساهمة: Keywords: Calcaneal lengthening osteotomy; Double arthrodesis of the talonavicular and calcaneocuboid joints; Generalised joint hypermobility; Planovalgus foot deformity
تواريخ الأحداث: Date Created: 20240716 Latest Revision: 20240716
رمز التحديث: 20240717
DOI: 10.1016/j.fas.2024.07.004
PMID: 39013737
قاعدة البيانات: MEDLINE
الوصف
تدمد:1460-9584
DOI:10.1016/j.fas.2024.07.004