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Related Concept Videos

Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Overcorrected Flatfoot Reconstruction.

Todd A Irwin1

  • 1OrthoCarolina Foot and Ankle Institute, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA.

Foot and Ankle Clinics
|August 7, 2017
PubMed
Summary

Oversurgical correction of adult acquired flatfoot can lead to difficult complications. Treatment involves understanding symptoms and surgical history, with osteotomies or fusions potentially revising the overcorrection.

Keywords:
CavovarusFlatfootOvercorrectionPosterior tibial tendon dysfunctionTreatment

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Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction
  • Adult acquired flatfoot deformity

Background:

  • Overcorrected flatfoot reconstruction is a challenging complication following adult acquired flatfoot deformity surgery.
  • Patient symptoms can mimic cavovarus foot, often due to lateral column overlengthening or calcaneal tuberosity malposition.

Purpose of the Study:

  • To outline the diagnostic and treatment strategies for overcorrected flatfoot reconstruction.
  • To correlate patient symptoms with prior surgical procedures for effective revision.

Main Methods:

  • Clinical assessment of patient symptoms.
  • Review of surgical history and performed procedures during the index surgery.
  • Surgical revision techniques including osteotomies and arthrodesis.

Main Results:

  • Accurate diagnosis relies on correlating symptoms with the original surgical technique.
  • Osteotomies of the calcaneus, midfoot, and first metatarsal can correct mild to moderate overcorrections.
  • Hindfoot and/or midfoot arthrodesis may be necessary for severe or rigid cases.

Conclusions:

  • Understanding the etiology of overcorrection is crucial for successful revision surgery.
  • A tailored surgical approach, from osteotomies to fusions, can effectively manage overcorrected flatfoot reconstruction.