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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[Radiological evaluation of the flexibles pes planus treated with conic endorthesis]
Adrián González Trujano1, Marcos Alfonso Fuentes Nucamendi
1Clínica Naval del Sur de la Secretaría de Marina Armada de México. gontraorto@yahoo.com.mx
Objective:
To determine the correction of flexible pes planus by means of the placement of a conic endorthesis in the subtalar joint. Outcomes were based on measures of the Moreau-Costa-Bartani and talar-navicular angles.
Material And Methods:
A series of 22 patients of both genders (7 to 13 years-old), were operated on both feet. The subtalar joint was stabilized by placement of a conic endorthesis. All of them were diagnosed as flexible pes planus, and 44 feet were operated on. All cases had previous conservative treatment without improvement. In these patients the Moreau-Costa-Bartani and talar-navicular angles were measured on lateral and dorsoplantar projections respectively, and compared pre and post-operatively.
Results:
Significant correction of the analyzed angles was achieved. We obtained less than 130 p in the "A" angle and less than 150 p in the "B" in the lateral projection, and less than 80 p in the dorsoplantar projection.
Conclusion:
Normal Moreau-Costa-Bartani and talarnavicular angles were achieved by means of the subtalar placement of a conic endortheses, and normal ranges were obtained in the simple X-rays measures.