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Related Experiment Video

Updated: Aug 31, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Functional Activity After Flatfoot Reconstruction With Lateral Column Lengthening.

Sean B Sequeira1, John F Burke1, Aaron Casp1

  • 1Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia (SBS, JFB, AC, MTC, JSP, VP).

Foot & Ankle Specialist
|August 24, 2022
PubMed
Summary

This study found that lower body mass index (BMI) and greater preoperative hindfoot valgus predict better functional outcomes after flatfoot reconstruction surgery. These factors are key for assessing return to activity post-operation.

Keywords:
body mass indexflatfootflatfoot reconstructionlateral column lengthening

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Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction
  • Biomechanical analysis

Background:

  • Flatfoot reconstruction aims to restore foot function.
  • Lateral column lengthening (LCL) is a surgical technique used.
  • Assessing return to activity post-surgery is crucial for patient outcomes.

Purpose of the Study:

  • Evaluate return to activity after flatfoot reconstruction with LCL.
  • Identify patient characteristics predicting functional outcomes.
  • Analyze functional postoperative data.

Main Methods:

  • Retrospective review of 54 patients undergoing flatfoot correction with LCL.
  • Utilized Foot and Ankle Ability Measure (FAAM) ADL and Sports questionnaires.
  • Evaluated demographic factors, comorbidities, and radiographic features.

Main Results:

  • A body mass index (BMI) ≥ 30 kg/m² correlated with lower FAAM scores (P = .002).
  • Preoperative hindfoot valgus ≥ 9° was associated with higher ADL scores (P = .040).
  • Age and other radiographic parameters did not significantly impact functional scores.

Conclusions:

  • Flatfoot reconstruction with LCL generally yields high functional scores.
  • Lower BMI and greater preoperative hindfoot valgus may predict improved outcomes.
  • These findings aid in predicting patient return to activity.