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[PMID]:29182826
[Au] Autor:Bojanic I; Dimnjakovic D; Mahnik A; Smoljanovic T
[Ti] Título:IS THERE ANY ROOM FOR TENDOSCOPY IN THE SURGICAL TREATMENT OF POSTERIOR TIBIAL TENDON INSUFFICIENCY?
[So] Source:Lijec Vjesn;138(5-6):144-151, 2016 May.
[Is] ISSN:0024-3477
[Cp] País de publicação:Croatia
[La] Idioma:eng
[Ab] Resumo:Posterior tibial tendon insufficiency (PTTI) is nowadays considered to be the main cause of adult-acquired flatfoot deformity (AAFD). The purpose of this study is to report the outcomes of tendoscopic treatment of tibialis poste- rior tendon (TP) in eleven patients with stage 1 or 2 PTTI and failed prior conservative treatment. Tendoscopy was carried out as a solitary procedure in 8 patients, while in 3 patients additional procedures such as ,,mini-open" tubularization of TP or anterior ankle arthroscopy were necessary. In a single patient transfer of flexor digitorum longus tendon was performed as a second stage surgery due to complete rupture of TP. Related with tendoscopic procedure, no complications were re- ported. TP tendoscopy is a useful and beneficial minimally invasive procedure to treat TP pathology at earlier stages of PTTI. It is a technically demanding procedure that requires extensive experience in arthroscopic management of small ioints and excellent knowledge of repional anatomy.
[Mh] Termos MeSH primário: Artroscopia/métodos
Disfunção do Tendão Tibial Posterior
Tendões
[Mh] Termos MeSH secundário: Adulto
Tornozelo/diagnóstico por imagem
Tornozelo/cirurgia
Tratamento Conservador/métodos
Croácia
Feminino
Pé Chato/etiologia
Pé Chato/terapia
Seres Humanos
Masculino
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Gravidade do Paciente
Disfunção do Tendão Tibial Posterior/complicações
Disfunção do Tendão Tibial Posterior/diagnóstico
Disfunção do Tendão Tibial Posterior/cirurgia
Tendões/diagnóstico por imagem
Tendões/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28460254
[Au] Autor:Van de Velde M; Matricali GA; Wuite S; Roels C; Staes F; Deschamps K
[Ad] Endereço:KULeuven, Department of Rehabilitation Sciences, Musculoskeletal Rehabilitation Research Group, Belgium.
[Ti] Título:Foot segmental motion and coupling in stage II and III tibialis posterior tendon dysfunction.
[So] Source:Clin Biomech (Bristol, Avon);45:38-42, 2017 Jun.
[Is] ISSN:1879-1271
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Classification systems developed in the field of posterior tibialis tendon dysfunction omit to include dynamic measurements. Since this may negatively affect the selection of the most appropriate treatment modality, studies on foot kinematics are highly recommended. Previous research characterised the foot kinematics in patients with posterior tibialis tendon dysfunction. However, none of the studies analysed foot segmental motion synchrony during stance phase, nor compared the kinematic behaviour of the foot in presence of different posterior tibialis tendon dysfunction stages. Therefore, we aimed at comparing foot segmental motion and coupling in patients with posterior tibialis tendon dysfunction grade 2 and 3 to those of asymptomatic subjects. METHODS: Foot segmental motion of 11 patients suffering from posterior tibialis tendon dysfunction stage 2, 4 patients with posterior tibialis tendon dysfunction stage 3 and 15 asymptomatic subjects was objectively quantified with the Rizzoli foot model using an instrumented walkway and a 3D passive motion capture system. Dependent variables were the range of motion occurring at the different inter-segment angles during subphases of stance and swing phase as well as the cross-correlation coefficient between a number of segments. RESULTS: Significant differences in range of motion were predominantly found during the forefoot push off phase and swing phase. In general, both patient cohorts demonstrated a reduced range of motion compared to the control group. This hypomobility occurred predominantly in the rearfoot and midfoot (p<0.01). Significant differences between both posterior tibialis tendon dysfunction patient cohorts were not revealed. Cross-correlation coefficients highlighted a loss of joint coupling between rearfoot and tibia as well as between rearfoot and forefoot in both posterior tibialis tendon dysfunction groups. INTERPRETATION: The current evidence reveals considerable mechanical alterations in the foot which should be considered in the decision making process since it may help explaining the success and failure of certain conservative and surgical interventions.
[Mh] Termos MeSH primário: /fisiopatologia
Disfunção do Tendão Tibial Posterior/fisiopatologia
Tendões/fisiopatologia
Tíbia/fisiopatologia
[Mh] Termos MeSH secundário: Idoso
Fenômenos Biomecânicos
Feminino
Seres Humanos
Imagem Tridimensional
Masculino
Meia-Idade
Amplitude de Movimento Articular
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:28121362
[Au] Autor:Guelfi M; Pantalone A; Mirapeix RM; Vanni D; Usuelli FG; Guelfi M; Salini V
[Ad] Endereço:Orthopaedic and Traumatology Division, Department of Medicine and Science of Aging, University G. d'Annunzio, Chieti-Pescara, Chieti, Italy. matteogue@hotmail.com.
[Ti] Título:Anatomy, pathophysiology and classification of posterior tibial tendon dysfunction.
[So] Source:Eur Rev Med Pharmacol Sci;21(1):13-19, 2017 Jan.
[Is] ISSN:2284-0729
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Adult acquired flatfoot deformity is generally associated with a collapsing medial longitudinal arch and a progressive loss of strength of the posterior tibial tendon (PTT). This condition is commonly associated with PTT dysfunction or rupture, which can have an arthritic or a traumatic etiology. Several causes have been proposed to explain the clinical evidence of tendon degeneration observed at the time of surgery including trauma, anatomical, mechanical, inflammatory and ischemic factors. MATERIALS AND METHODS: In this review, we analyzed anatomy, pathophysiology and existing classifications of posterior tibial tendon dysfunction. RESULTS: Anatomical features, and in particular vascularization, expose PTT to major degenerative disorders until rupture. A literature overview showed that a low blood supply of the gliding part of the tendon is linked to a dysfunction and/or a rupture of the PTT in the region located behind the medial malleolus. CONCLUSIONS: PTT low blood supply causes a dysfunction resulting in an abnormal loading of the foot's medial structures. This may be the reason why PTT dysfunction leads to an acquired flatfoot deformity. Conversely, flatfoot deformity may be a predisposing factor for the onset of PTT dysfunction.
[Mh] Termos MeSH primário: Pé Chato/fisiopatologia
Disfunção do Tendão Tibial Posterior/fisiopatologia
Tendões/fisiopatologia
[Mh] Termos MeSH secundário: /patologia
Seres Humanos
Tendões/irrigação sanguínea
Tíbia/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE


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[PMID]:27915133
[Au] Autor:Palmanovich E; Shabat S; Brin YS; Massrawe S; Hestroni I; Nyska M
[Ad] Endereço:Orthopedics Department, Meir Medical Center-Kfar Saba Israel, Associated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: ezepalm@gmail.com.
[Ti] Título:Novel reconstruction technique for an isolated plantar calcaneonavicular (SPRING) ligament tear: A 5 case series report.
[So] Source:Foot (Edinb);30:1-4, 2017 Mar.
[Is] ISSN:1532-2963
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: It is usually accepted that acquired flatfoot deformity after injury is usually due to partial or complete tear of the posterior tibial tendon (PTT), with secondary failure of the other structures which maintain the medial longitudinal arch, such as the plantar calcaneo-navicular (SPRING) ligament. It is unusual to find an isolated Spring Ligament (SL) tear, with an intact TP tendon. METHODS: The medial arch reconstruction technique of an isolated SL tear in 5 patients is presented discussed in this paper. In these 5 cases the clinical presentation mimicked PTT dysfunction. The operative regimen consisted of three steps: direct repair of the ligament, primary reconstruction of the SL by using FiberWire (Arthrex, Inc) and a medial calcaneal osteotomy. RESULTS: American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score improved from 55.8 (range, 34-74) before surgery to 97.6 (range, 91-100) at more than one year follow-up. No recurrence of the flatfoot deformity was observed at 10 years follow-up. CONCLUSION: SL tear should be suspected in cases of clinical presentation of medial arc collapse even when PTT is intact. In such cases of isolated SL tear reconstruction of the torn ligament using the method described is recommended.
[Mh] Termos MeSH primário: Calcâneo/cirurgia
Ligamentos Articulares/lesões
Ligamentos Articulares/cirurgia
Osteotomia
Suturas
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Feminino
Pé Chato/etiologia
Pé Chato/cirurgia
Seres Humanos
Masculino
Meia-Idade
Disfunção do Tendão Tibial Posterior/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161205
[St] Status:MEDLINE


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[PMID]:27866885
[Au] Autor:McAlister JE; DeMill SL; So E; Hyer CF
[Ad] Endereço:Fellowship Co-Director, The CORE Institute, Phoenix, AZ.
[Ti] Título:Surgical Planning for Flexor Digitorum Longus Tendon Transfers: An Anatomic Study.
[So] Source:J Foot Ankle Surg;56(1):47-49, 2017 Jan - Feb.
[Is] ISSN:1542-2224
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Posterior tibial tendon dysfunction is often coupled with various degrees of hindfoot valgus and equinus. Preoperative planning is essential to appropriate procedure choice and surgical efficiency. The purpose of the present study was to assess the anatomy at the harvest site for flexor digitorum longus tendon transfer, specifically at the master knot of Henry. Thirty fresh-frozen below-the-knee cadavers were used for dissection. A standard anatomic approach was performed for posterior tibial tendon debridement and flexor digitorum longus tendon transfer. The flexor digitorum longus tendon was harvested and measured at the master knot of Henry. The present anatomic study evaluated the tendon width of the flexor digitorum longus tendon at a common harvest site. Of the 30 specimens, 20 (67%) measured 5 mm and 10 (33%) measured 4 mm. A 5.0-mm interference screw would be acceptable in each specimen and therefore would be the safest choice. A 4.0-mm interference screw would be acceptable in only 33% of the specimens. Males have a slightly more robust flexor digitorum longus tendon than females at the harvest site. This information will assist surgeons in preoperative planning during stage II flatfoot correction for posterior tibial tendon dysfunction.
[Mh] Termos MeSH primário: Transferência Tendinosa/métodos
Tendões/anatomia & histologia
Tendões/cirurgia
[Mh] Termos MeSH secundário: Cadáver
Dissecação
Feminino
Seres Humanos
Masculino
Disfunção do Tendão Tibial Posterior/cirurgia
Sensibilidade e Especificidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161122
[St] Status:MEDLINE


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[PMID]:28033058
[Au] Autor:Park J
[Ti] Título:Partial Rupture of the Tibialis Posterior Tendon Associated with a Closed Medial Malleolar Fracture .
[So] Source:J Am Podiatr Med Assoc;106(6):449-452, 2016 Nov.
[Is] ISSN:1930-8264
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Rupture of the tibialis posterior tendon associated with ankle fracture is rare and difficult to diagnose. This rupture can be easily overlooked because the clinical examination is limited owing to acute pain related to a closed ankle fracture. Complete rupture of the tibialis posterior tendon can be identified by a loss of tension during ankle fracture fixation, but partial rupture is more difficult to detect because the tibialis posterior tendon can maintain its tension. A few cases of complete rupture of the tibialis posterior tendon combined with ankle fracture have been reported. It is well-known that failure to diagnose a rupture of the tibialis posterior tendon can lead to long-term disability and a planovalgus foot. However, to our knowledge, this is the first report of partial rupture of the tibialis posterior tendon in the English literature. Herein, we describe a patient with a neglected partial rupture of the tibialis posterior tendon combined with a medial malleolar fracture.
[Mh] Termos MeSH primário: Fraturas do Tornozelo/diagnóstico por imagem
Fraturas do Tornozelo/cirurgia
Fixação Interna de Fraturas/métodos
Disfunção do Tendão Tibial Posterior/cirurgia
Ruptura/cirurgia
Traumatismos dos Tendões/cirurgia
[Mh] Termos MeSH secundário: Acidentes de Trânsito
Adulto
Serviço Hospitalar de Emergência
Seguimentos
Seres Humanos
Escala de Gravidade do Ferimento
Imagem por Ressonância Magnética/métodos
Masculino
Medição da Dor
Disfunção do Tendão Tibial Posterior/diagnóstico por imagem
Amplitude de Movimento Articular/fisiologia
Medição de Risco
Ruptura/diagnóstico por imagem
Ruptura/patologia
Técnicas de Sutura
Traumatismos dos Tendões/diagnóstico por imagem
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161230
[St] Status:MEDLINE
[do] DOI:10.7547/15-078


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[PMID]:28002322
[Au] Autor:Lim TH; Cho HR; Kang KN; Rhyu CJ; Chon SW; Lim YS; Yoo JI; Kim JW; Kim YU
[Ad] Endereço:aDepartment of Anesthesiology and Pain Medicine, Eulji General Hospital, Eulji University College of Medicine, Seoul bDepartment of Anesthesiology and Pain Medicine, Myongji Hospital, College of Medicine, Seonam University, Goyang cDepartment of Anesthesiology and Pain Medicine, National Police Hospital, Seoul dDepartment of Anesthesiology and Pain Medicine, Institute for Integrative medicine, Catholic Kwandong University of Korea College of Medicine, International ST. Mary's Hospital, Incheon, Republic of Korea.
[Ti] Título:The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report.
[So] Source:Medicine (Baltimore);95(51):e5346, 2016 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Ankle syndesmotic injuries occasionally require long-term therapy for recovery and can result in tendon injury. Posterior tibial tendon dysfunction (PTTD) is an acquired deformity that can cause flatfoot deformity. The current nonoperative management of PTTD includes nonsteroidal antiinflammatory drugs (NSAIDs), orthopedic devices. Although various treatment options have been attempted, optimal treatments for each stage of the condition are debated. Polydeoxyribonucleotide (PDRN) is effective in healing of chronic wounds associated with tissue damage by attracting tissue growth factors. PATIENT CONCERNS: A 67-year-old woman who presented at our pain clinic with pain on the inside of ankle. She had a syndesmotic screw fixation 3 years prior. Her ankle pain had persisted after the removal of screws and edema for about 1 month resulting from long-term NSAIDs administration. DIAGNOSES: The origin of the pain was possibly tibialis posterior muscle and posterior tibial tendon and she was diagnosed as PTTD after syndesmosis surgery. INTERVENTIONS: Sono guided prolotherapy with PDRN was carried out. OUTCOMES: Patient showed improvement in the arch of the foot, experienced pain relief, and was able to wear regular shoes without any orthopedic device. LESSONS: This case report highlights that PDRN prolotherapy is a safe and efficient therapeutic option for the treatment of PTTD.
[Mh] Termos MeSH primário: Articulação do Tornozelo/cirurgia
Polidesoxirribonucleotídeos/uso terapêutico
Disfunção do Tendão Tibial Posterior/tratamento farmacológico
[Mh] Termos MeSH secundário: Idoso
Artralgia/tratamento farmacológico
Artralgia/etiologia
Feminino
Seres Humanos
Injeções
Manejo da Dor
Polidesoxirribonucleotídeos/administração & dosagem
Disfunção do Tendão Tibial Posterior/etiologia
Ultrassonografia de Intervenção
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Polydeoxyribonucleotides)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161222
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000005346


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[PMID]:27800073
[Au] Autor:Zejjari H; Rachid K
[Ad] Endereço:Department of Trauma and Orthopaedic Surgery, Military Hospital Moulay Ismail, Meknès, Morroco.
[Ti] Título:Posterior tibial tendon dysfunction by bone imprisonment.
[So] Source:Pan Afr Med J;24:218, 2016.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Mh] Termos MeSH primário: Dor/etiologia
Disfunção do Tendão Tibial Posterior/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Disfunção do Tendão Tibial Posterior/patologia
Disfunção do Tendão Tibial Posterior/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170210
[Lr] Data última revisão:
170210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161102
[St] Status:MEDLINE


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[PMID]:27502230
[Au] Autor:Wagner P; Ortiz C; Vela O; Arias P; Zanolli D; Wagner E
[Ad] Endereço:Clínica Alemana-Universidad del Desarrollo, Foot and Ankle Surgeon, Chile. Electronic address: pwagner@alemana.cl.
[Ti] Título:Interosseous membrane window size for tibialis posterior tendon transfer-Geometrical and MRI analysis.
[So] Source:Foot Ankle Surg;22(3):196-9, 2016 Sep.
[Is] ISSN:1460-9584
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Tibialis posterior (TP) tendon transfer through the interosseous membrane is commonly performed in Charcot-Marie-Tooth disease. In order to avoid entrapment of this tendon, no clear recommendation relative to the interosseous membrane (IOM) incision size has been made. OBJECTIVE: Analyze the TP size at the transfer level and therefore determine the most adequate IOM window size to avoid muscle entrapment. METHODS: Eleven lower extremity magnetic resonances were analyzed. TP muscle measurements were made in axial views, obtaining the medial-lateral and antero-posterior diameter at various distances from the medial malleolus tip. The distance from the posterior to anterior compartment was also measured. These measurements were applied to a mathematical model to predict the IOM window size necessary to allow an ample TP passage in an oblique direction. RESULTS: The average tendon diameter (confidence-interval) at 15cm proximal to the medial malleolus tip was 19.47mm (17.47-21.48). The deep posterior compartment to anterior compartment distance was 10.97mm (9.03-12.90). Using a mathematical model, the estimated IOM window size ranges from 4.2 to 4.9cm. CONCLUSION: The IOM window size is of utmost importance in trans-membrane TP transfers, given that if equal or smaller than the transposed tendon oblique diameter, a high entrapment risk exists. A membrane window of 5cm or 2.5 times the size of the tendon diameter should be performed in order to theoretically diminish this complication.
[Mh] Termos MeSH primário: Articulação do Tornozelo/diagnóstico por imagem
Imagem por Ressonância Magnética
Disfunção do Tendão Tibial Posterior/diagnóstico por imagem
Disfunção do Tendão Tibial Posterior/cirurgia
Transferência Tendinosa/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Articulação do Tornozelo/cirurgia
Feminino
Seres Humanos
Masculino
Meia-Idade
Modelos Teóricos
Complicações Pós-Operatórias/prevenção & controle
Prognóstico
Medição de Risco
Amostragem
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160810
[St] Status:MEDLINE


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[PMID]:27402620
[Au] Autor:Xu Y; Li XC; Xu XY
[Ad] Endereço:Department of Orthopedics, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
[Ti] Título:Calcaneal Z Lengthening Osteotomy Combined With Subtalar Arthroereisis for Severe Adolescent Flexible Flatfoot Reconstruction.
[So] Source:Foot Ankle Int;37(11):1225-1231, 2016 Nov.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The timing and strategy for operative treatment of flatfoot are still controversial. The purpose of this study was to evaluate clinical outcomes and radiographic changes following calcaneal Z osteotomy combined with subtalar arthroereisis for severe adolescent flexible flatfoot. METHODS: Data were analyzed for 16 patients (20 feet) who had flatfoot without tibialis posterior tendon dysfunction and were treated by calcaneal Z osteotomy combined with arthroereisis between October 2011 and February 2015. The mean age of patients at the time of surgery was 12.8 ± 1.4 years (range, 10-14 years). Preoperative and postoperative measurements included changes in hindfoot valgus angles; changes in talonavicular uncoverage angles on anteroposterior (AP) radiographic view; and changes in talo-first metatarsal angles, talar pitch angles, and calcaneal pitch angles on lateral radiographic view. The American Orthopaedic Foot & Ankle Society Ankle-Hindfoot Score (AOFAS-AH) was used to assess foot function. The mean follow-up was 18.9 ± 6.9 months (range, 13-33 months). RESULTS: The hindfoot valgus angle improved from 14.9 ± 4.2 degrees to 2.3 ± 1.7 degrees. On the AP view, the preoperative and postoperative talonavicular uncoverage angles were 30.5 ± 9.4 degrees and 9.8 ± 4.8 degrees, respectively. On lateral radiographs, the preoperative talo-first metatarsal angle, talar pitch angle, and calcaneal pitch angle were -22.1 ± 7.9 degrees, 36.1 ± 4.4 degrees, and 14.4 ± 4.0 degrees, respectively. Postoperative lateral radiographs demonstrated talo-first metatarsal angle, talar pitch angle, and calcaneal pitch angle of -6.2 ± 4.7 degrees, 27.3 ± 4.9 degrees, and 19.0 ± 4.3 degrees, respectively. The AOFAS-AH score improved from 66.8 ± 24.1 preoperatively to 96.5 ± 3.4 postoperatively. CONCLUSIONS: For adolescents with flatfoot, calcaneal Z osteotomy combined with subtalar arthroereisis provided satisfactory results. LEVEL OF EVIDENCE: Level IV, retrospective case series.
[Mh] Termos MeSH primário: Calcâneo/cirurgia
Pé Chato/cirurgia
Deformidades Adquiridas do Pé/fisiopatologia
Osteotomia/métodos
Disfunção do Tendão Tibial Posterior/fisiopatologia
Tendões/fisiopatologia
[Mh] Termos MeSH secundário: Calcâneo/fisiopatologia
Pé Chato/fisiopatologia
Seres Humanos
Radiografia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160713
[St] Status:MEDLINE



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