联合前足对线矫正与后足融合治疗扁平足畸形。

Associated correction of forefoot alignment with hindfoot fusion for pes planovalgus deformity.

作者信息

Matsumoto Takumi, Takeda Ryutaro, Uchio Akihiro, Mizuhara Hiroyasu, Omata Yasunori, Juji Takuo, Tanaka Sakae

机构信息

Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan; Department of Rheumatology, JCHO Yugawara Hospital, 2-21-6 Chuo, Yugawara, Ashigara-shimo, Kanagawa 259-0396, Japan.

Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.

出版信息

Foot Ankle Surg. 2023 Apr;29(3):280-287. doi: 10.1016/j.fas.2023.02.012. Epub 2023 Feb 28.

DOI:10.1016/j.fas.2023.02.012

PMID:36870925

Abstract

BACKGROUND

The present study aimed to investigate changes in hallux alignment after corrective surgery for adult-acquired flatfoot deformity (AAFD).

PATIENTS AND METHODS

The present study retrospectively investigated the changes of hallux alignment in 37 feet (33 patients) which were treated with double or triple arthrodesis of the hindfoot for AAFD between 2015 and 2021 and could be followed up to one year postoperatively.

RESULTS

Hallux valgus (HV) angle significantly decreased by a mean 4.1° among the whole 37 subjects and by a mean 6.6° among the 24 subjects who had a preoperative HV angle of 15° or more. Those who had HV correction (HV angle correction ≥ 5°) demonstrated more near-normal postoperative alignment of the medial longitudinal arch and hindfoot than those without HV correction.

CONCLUSIONS

Hindfoot fusion for AAFD could improve preoperative HV deformity to some degree. HV correction was associated with proper realignment of the midfoot and hindfoot.