Augmented Spring Ligament Repair in Pes Planovalgus Reconstruction.

Autor: Fogleman JA; Clinical Faculty, Department of Orthopaedic Surgery, East Tennessee State University, Johnson City, TN., Kreulen CD; Assistant Professor, Department of Orthopaedic Surgery, The University of California Davis Health System, Sacramento, CA., Sarcon AK; Surgical Resident Physician, Department of Surgery, Mayo Clinic, Rochester, MN. Electronic address: aidasarcon@gmail.com., Michelier PV; Orthopaedic Surgery Resident Physician, Department of Orthopaedic Surgery, The University of California Davis Health System, Sacramento, CA., Giza E; Professor & Chief of Foot and Ankle Surgery Division, Department of Orthopaedic Surgery, The University of California Davis Health System, Sacramento, CA., Doty JF; Associate Professor, Department of Orthopaedic Surgery, The University of Tennessee Erlanger Health System, Chattanooga, TN.
Jazyk: angličtina
Zdroj: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2021 Nov-Dec; Vol. 60 (6), pp. 1212-1216. Date of Electronic Publication: 2021 Jun 02.
DOI: 10.1053/j.jfas.2021.05.010
Abstrakt: Patients with pes planovalgus deformity often have coexisting spring ligament pathology. A primary repair of the ligament may fail during weightbearing due to chronic degeneration of the ligamentous tissue. Augmentation with a suture tape has been suggested to strengthen the repair. Limited data exist regarding flatfoot reconstruction with augmented spring ligament repair using a suture tape. This is a review of 57 consecutive patients who had flatfoot reconstruction with concomitant spring ligament augmented repair between July 2014 and August 2017. Weightbearing radiographic parameters were obtained preoperatively and compared to radiographs at an average time of 62 ± 46.5 (range 20-220) weeks postoperative. Significant improvements were seen in the radiographic parameters evaluated. Five patients had subsequent operations including one deep infection, 2 hardware removals remote to the spring ligament augmentation, 1 ankle arthrodesis, and 1 triple arthrodesis. Concomitant spring ligament repair augmented with a suture tape was a safe procedure that contributed to radiographic correction in a consecutive series of 57 patients undergoing flatfoot deformity correction.
(Copyright © 2021 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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