Silva Bruno Air Machado DA, Silva Nilzio Antônio DA, Vasconcelos Jonatas Barbosa
Hospital de Urgencias de Aparecida de Goiania, Goiania, GO, Brazil.
Instituto Ortopedico de Goiania, Goiania, GO, Brazil.
Acta Ortop Bras. 2023 Jul 31;31(4):e265045. doi: 10.1590/1413-785220233104e265045. eCollection 2023.
To describe the technique, analyze possible radiographic correction and evaluate the clinical result of medial and plantar calcaneal displacement osteotomy associated with opening wedge cuboid osteotomy for flexible flatfoot correction.
23 patients (30 feet) diagnosed with flexible flat foot treated with plantar and medial calcaneal displacement osteotomy associated with opening wedge cuboid osteotomy were evaluated retrospectively. In the lateral radiographs calcaneal pitch and Meary's angle were the radiographic parameters evaluated; while the talonavicular coverage angle was evaluated in the anteroposterior radiographs. To assess the clinical outcome of the surgical procedure, the American Orthopedic Foot and Ankle Society Score (AOFAS) for the ankle and hindfoot was adopted.
The mean values of the evaluated angles and AOFAS score for ankle and hindfoot significantly improved when comparing pre- and postoperative values.
Plantar and medial calcaneal displacement osteotomy associated with an opening wedge cuboid osteotomy is able to improve radiological and clinical parameters of child patients with flexible flatfoot.
描述内侧和跟骨跖侧移位截骨联合开放楔形骰骨截骨矫正柔韧性扁平足的技术，分析可能的影像学矫正情况并评估临床结果。
回顾性评估23例（30足）诊断为柔韧性扁平足并接受跟骨跖侧和内侧移位截骨联合开放楔形骰骨截骨治疗的患者。在侧位X线片上评估跟骨倾斜角和梅里角等影像学参数；在前后位X线片上评估距舟覆盖角。为评估手术效果，采用美国足踝外科协会（AOFAS）踝关节与后足评分。
比较术前和术后值时，所评估角度的平均值以及踝关节与后足的AOFAS评分均有显著改善。
跟骨跖侧和内侧移位截骨联合开放楔形骰骨截骨能够改善柔韧性扁平足儿童患者的影像学和临床参数。
