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Defining Radiographic Threshold Values for the Progressive Collapsing Foot Deformity Classification System: A Large-Cohort Diagnostic Study.

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Return to Physical Activity Following Flatfoot Reconstruction.

Robert M Fuller1, Stephanie K Eble1, Jonathan Day2

  • 1Hospital for Special Surgery, New York, NY, USA.

Foot & Ankle International
|March 9, 2022
PubMed
Summary

Flatfoot reconstruction surgery outcomes show mixed results for patients returning to sports. While many experienced improved physical function and satisfaction, a significant portion faced prolonged difficulty and limitations in activity levels post-surgery.

Keywords:
flatfoot reconstructionphysical activitiesprogressive collapsing foot deformityreturn to sport

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitative Medicine

Background:

  • Progressive collapsing foot deformity (PCFD) involves complex foot deformities requiring reconstructive surgery.
  • Limited research exists on return-to-activity rates after flatfoot reconstruction, with existing studies focusing on only a few procedures.

Purpose of the Study:

  • To assess return-to-sports and physical activity levels following reconstructive surgery for flexible flatfoot deformity.
  • To provide a generalizable evaluation of outcomes in a diverse patient cohort.

Main Methods:

  • Retrospective review of 113 patients (aged 18-60) who underwent flatfoot reconstruction.
  • Follow-up at a mean of 2.9 years, evaluating return to 21 specific sports/activities using a survey.
  • Clinical outcomes assessed via Patient-Reported Outcomes Measurement Information System (PROMIS) scores.

Main Results:

  • 58.5% of patients reported decreased difficulty with physical activities post-surgery.
  • Median return times were 9-12 months for initial participation and 12-18 months for maximum pre-operative levels.
  • Improvements in physical function, pain, and global health were linked to higher satisfaction with activity levels.

Conclusions:

  • Flatfoot reconstruction can enhance physical activity capacity for many patients.
  • However, a notable percentage experienced prolonged pain, difficulty, and limitations in returning to pre-operative activity levels.
  • The study highlights that flatfoot reconstruction can result in athletic limitations for some individuals.