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Related Experiment Videos

[Surgical correction of flatfoot].

V I Shaposhnikov

    Vestnik Khirurgii Imeni I. I. Grekova
    |February 13, 2003
    PubMed
    Summary

    Surgical treatment for transverse platypodia and first toe deviation shows promising results. Vascular prostheses combined with bone resection offer a durable solution, minimizing recurrence and bone destruction.

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    Area of Science:

    • Orthopedic surgery
    • Podiatric medicine
    • Biomaterials in surgery

    Background:

    • Transverse platypodia and first toe outward deviation are common foot deformities.
    • Existing treatments have varying success rates and recurrence patterns.

    Purpose of the Study:

    • To evaluate the efficacy of surgical interventions for transverse platypodia and first toe outward deviation.
    • To compare outcomes between different surgical techniques and materials.

    Main Methods:

    • Surgical treatment of 76 patients with transverse platypodia and first toe outward deviation.
    • Procedures included clinoid resection of the first metatarsus head combined with plasty of the transverse foot fornix using vascular prosthesis or lavsan bands.
    • A novel method involving shifting the anterior tibial muscle tendon was used for longitudinal platypodia.

    Main Results:

    • No recurrences were observed in 55 patients (72.4%) treated with combined plasty and resection over 2-10 years.
    • Vascular prostheses showed no bone destruction, while lavsan bands led to destruction in 8 of 22 patients within 1-2 years.
    • Additional clinoid resection in 12 patients with prior surgery reduced recurrences, and the tendon shifting method yielded good functional results in 19 patients.

    Conclusions:

    • Combined plasty with vascular prosthesis and clinoid resection is a highly effective treatment for transverse platypodia and first toe deviation, with no recurrences or bone destruction.
    • Lavsan bands may lead to complications, and additional clinoid resection can address recurrences.
    • The anterior tibial tendon shifting technique offers a good functional outcome for longitudinal platypodia.

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