Outcomes after Lengthening Calcaneal Osteotomy for Flexible Flatfoot Deformity– Evans versus Hintermann Osteotomy

Autor: Christian Plaass MD, Sarah Ettinger MD, Leif Claassen MD, Daiwei Yao MD, Christina Stukenborg-Colsman PhD, Kiriakos Daniilidis MD, Tim Mattinger MD
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Foot & Ankle Orthopaedics, Vol 2 (2017)
Druh dokumentu: article
ISSN: 2473-0114
24730114
DOI: 10.1177/2473011417S000329
Popis: Category: Hindfoot Introduction/Purpose: Evans and Hintermann calcaneal osteotomies are commonly used to correct flexible pes planovalgus deformity. Both methods are well accepted with good clinical results. The aim of this study was to compare the outcomes after Evans or Hintermann osteotomy. Methods: We retrospectively examined 49 patients who were operated for the treatment of flexible flatfoot deformity between October 2007 and March 2014. Sixteen Evans and 36 Hintermann osteotomies were performed. The data was collected using clinical and radiological examination as well as clinical scores (FAOS, SF-36) during regular follow-up. A paired t-test was used for statistical analysis. A one-way anova with the Holm-Sidak’s multiple comparisons test was used to compare non-parametric data. Results: The mean age was 39.6 ± 18.69 years in the Hintermann (H) group and 32.8 ± 17.86 years in the Evans (E) group. The mean follow up was 67.67 ± 20.57 months in the E- and 39.71 ± 12.77 months in the H-group. In both groups FAOS and SF-36 improved significantly (p
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