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Published on: January 24, 2018
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[Double arthrodesis through a single medial incision approach for flatfoot]
Summary
Double arthrodesis effectively corrects flatfoot deformity and pes valgus. This procedure, fusing the subtalar and talonavicular joints, offers a viable alternative with significant patient outcome improvements.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Reconstruction
Background:
- Flatfoot deformity with pes valgus presents a significant challenge in orthopedic practice.
- Posterior tibial tendon dysfunction and tarsal coalition are common comorbidities.
Purpose of the Study:
- To evaluate the efficacy of double arthrodesis (subtalar and talonavicular joint fusion) for correcting flatfoot deformity and pes valgus.
- To assess clinical outcomes and patient-reported scores following the procedure.
Main Methods:
- A cohort of 12 patients with flatfoot deformity and pes valgus underwent double arthrodesis via a single medial incision.
- Preoperative and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) and Visual Analogue Scale (VAS) scores were recorded.
- Follow-up included assessment of wound healing, complications, bone union, and radiographic outcomes.
Main Results:
- The procedure demonstrated a mean bone union time of 9.8 weeks with no nonunion or major complications.
- Postoperative AOFAS scores significantly improved from 48.75 to 81.36, and VAS scores decreased from 6.08 to 0.72.
- All incisions healed primarily, with minimal reported pain post-symptomatic treatment.
Conclusions:
- Double arthrodesis using a single medial incision is an effective surgical option for correcting flatfoot deformity with pes valgus.
- This technique provides a valuable alternative to traditional triple arthrodesis, leading to substantial improvements in patient function and pain relief.
