Clinical and Radiological Evaluation of Results of Surgical Correction of Forefoot Adduction by Cuneiform and Cuboid Osteotomy Using Radiological Forefoot Measurements
Autor: | Barbara Jasiewicz, Tomasz Potaczek, Jacek Lorkowski, Sławomir Duda, Jakub Adamczyk |
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Rok vydání: | 2021 |
Předmět: |
Male
Adolescent Foot Deformities Congenital medicine.medical_treatment Osteotomy Metatarsus adductus Cuboid bone Medicine Humans Orthopedics and Sports Medicine Child Retrospective Studies Orthodontics Metatarsus Varus Cuneiform bones Cuboid business.industry Forefoot Rehabilitation Tarsal Bones Radiography Forefoot adduction Treatment Outcome Radiological weapon Child Preschool Female Poland business Follow-Up Studies |
Zdroj: | Ortopedia, traumatologia, rehabilitacja. 22(5) |
ISSN: | 2084-4336 |
Popis: | Background. Forefoot adduction is a relatively common problem. It is usually mild or it can be effectively managed conservatively. Severe deformities may require surgical treatment. The aim of the study was to perform a clinical and radiologic evaluation of forefoot adduction correction using medial cuboid and cuneiform osteotomy with a transposed wedge. Material and methods. This is a retrospective study involving 16 patients who underwent 20 procedures. Mean age at surgery was 6 years (3-13). Clinical evaluation was based on measurements of forefoot deviation and patients’/care-givers’ subjective opinion. The radiologic parameters assessed comprised the first ray angle, talar-first metatarsal angle, calcaneal-fifth metatarsal angle, talocalcaneal angle, metatarsus adductus angle, and Kilmartin’s angle. Results were then compared in children below and above 6 years of age. The mean duration of follow-up was 4.6 years (2-9). Results. The clinical and subjective outcome was rated as good in 16 procedures and satisfactory in 4. The talar-first metatarsal angle, calcaneal-fifth metatarsal angle, metatarsus adductus angle, and Kilmartin’s angle were significantly reduced, while the talocalcaneal and first ray angle remained unchanged. A significantly better correction of metatarsus adductus and talar-first metatarsal angle was achieved In children below 6 years of age compared to older patients. Conclusions. 1. Medial cuneiform and cuboid osteotomy with a transposed wedge improves both clinical and radiological parameters, especially in children under the age of 6. 2. Besides the metatarsus adductus angle, the talar-first metatarsal, calcaneal-fifth metatarsal and Kilmartin’s angles appear to be good radiologic indicators of correction. |
Databáze: | OpenAIRE |
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