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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Surgical Considerations for Revision Flatfoot Reconstruction: Overcorrection/Undercorrection.

Sandeep Patel1, John M Schuberth2, Matthew Cobb3

  • 1Diablo Service Area, Kaiser Permanente, 1425 South Main Street, Walnut Creek, CA 94596, USA; Kaiser San Francisco Bay Area, Foot and Ankle Residency Program, Oakland, CA, USA.

Clinics in Podiatric Medicine and Surgery
|February 25, 2023
PubMed
Summary
This summary is machine-generated.

Reconstructive surgery for symptomatic flatfoot (pes planus) aims for proper alignment. This review details adverse outcomes from mal-reduction in flatfoot reconstruction and strategies for correction.

Keywords:
Adult acquired flatfoot reconstructionFlatfoot reconstructionFlatfoot surgery outcomesRevision flatfoot reconstruction

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Biomechanical Analysis

Background:

  • Symptomatic pes planus (flatfoot) is common, with reconstructive surgery yielding good results.
  • Patient selection, expectations, and surgical technique significantly impact outcomes.
  • Postoperative alignment is crucial for functional success, alongside osseous union.

Purpose of the Study:

  • To review adverse outcomes following mal-reduction in flatfoot reconstruction.
  • To highlight challenges associated with under- and over-correction.
  • To present strategies for correcting resultant deformities.

Main Methods:

  • Literature review of reconstructive surgery for pes planus.
  • Analysis of factors influencing surgical outcomes.
  • Discussion of mal-alignment complications and their management.

Main Results:

  • Mal-reduction can lead to under- or over-correction, each with distinct problems.
  • Improper alignment negatively affects functional outcomes.
  • Specific symptomatology is associated with each type of mal-correction.

Conclusions:

  • Accurate intraoperative reduction is vital in flatfoot reconstruction.
  • Addressing mal-alignment is key to optimizing functional results.
  • Effective correction strategies can mitigate adverse outcomes from mal-reduction.