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The Miller procedure for mobile flat feet

R K Fraser1, M B Menelaus, P F Williams

  • 1Department of Orthopaedics, Royal Children's Hospital, Parkville, Victoria, Australia.

The Journal of Bone and Joint Surgery. British Volume
|May 1, 1995
PubMed
Summary

The Miller operation provides good long-term outcomes for adolescent flat feet. This surgery effectively treats persistent symptoms in mobile flat feet with a naviculocuneiform break.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Foot and ankle surgery

Background:

  • Mobile flat feet in adolescents can cause persistent symptoms.
  • An isolated naviculocuneiform break is a specific cause of flat foot deformity.
  • The Miller operation is a surgical option for correcting foot deformities.

Purpose of the Study:

  • To evaluate the long-term effectiveness of the Miller operation.
  • To assess clinical outcomes in adolescent patients with symptomatic mobile flat feet.
  • To determine the success rate of the Miller operation for isolated naviculocuneiform breaks.

Main Methods:

  • Retrospective study of 22 patients (38 feet) undergoing the Miller operation.
  • Mean patient age at surgery was 13 years.
  • Follow-up at a mean of 12 years (range: 3 to 27 years).

Main Results:

  • 84% of the feet achieved satisfactory clinical results at long-term follow-up.
  • The procedure demonstrated durable positive outcomes.
  • Symptomatic relief was significant in the majority of cases.

Conclusions:

  • The Miller operation is a beneficial surgical treatment for adolescents.
  • It is effective for persistently symptomatic mobile flat feet with an isolated naviculocuneiform break.
  • This procedure offers a reliable solution for this specific pediatric foot condition.

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