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MODIFIED MUBARAK TECHNIQUE FOR FLEXIBLE FLATFOOT CORRECTION IN CHILDREN AND ADOLESCENTS
Bruno Air Machado DA Silva1,2, Nilzio Antônio DA Silva3, Jonatas Barbosa Vasconcelos1
1Hospital de Urgencias de Aparecida de Goiania, Goiania, GO, Brazil.
Acta Ortopedica Brasileira
|August 7, 2023
Summary
This study shows that combining calcaneal displacement osteotomy with cuboid osteotomy effectively corrects flexible flatfoot in children, improving both radiographic measurements and clinical outcomes.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Foot and Ankle Surgery
Background:
- Flexible flatfoot is a common pediatric condition affecting foot mechanics.
- Surgical correction aims to restore normal foot alignment and function.
Purpose of the Study:
- To detail the surgical technique of medial and plantar calcaneal displacement osteotomy with opening wedge cuboid osteotomy.
- To assess radiographic correction and clinical outcomes in pediatric flexible flatfoot.
Main Methods:
- Retrospective evaluation of 23 patients (30 feet) with flexible flatfoot.
- Radiographic analysis included calcaneal pitch, Meary's angle, and talonavicular coverage angle.
- Clinical outcomes assessed using the American Orthopedic Foot and Ankle Society (AOFAS) score.
Main Results:
- Significant improvements were observed in all measured radiographic angles (preoperative vs. postoperative).
- The AOFAS scores for the ankle and hindfoot demonstrated significant postoperative improvement.
Conclusions:
- The combined surgical approach effectively corrects flexible flatfoot in pediatric patients.
- This technique leads to significant improvements in both radiographic parameters and clinical function.
