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Associated correction of forefoot alignment with hindfoot fusion for pes planovalgus deformity
Affiliation:1. Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7–3-1 Hongo, Bunkyo-ku, Tokyo 113–8655, Japan;2. Department of Rheumatology, JCHO Yugawara Hospital, 2–21-6 Chuo, Yugawara, Ashigara-shimo, Kanagawa 259–0396, Japan;1. Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Schwarzenbruck, Germany;2. Stockholms Fotkirurgklinik, Sophiahemmet University, Stockholm, Sweden;3. Service de Chirurgie Orthopedique et Traumatologique, Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Pierre-Benite Cedex, France;4. Laboratoire de Biomécanique et Mécanique des Chocs, Université Lyon 1, Bron cedex, France;5. Orthopedic Department at University Hospital Uppsala, Uppsala, Sweden and Department of Foot and Ankle Surgery, Capio Movement, Halmstad, Sweden;6. Charlottenlund, Denmark;7. Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno, Italy;8. Queen Mary University of London, Centre for Sports and Exercise Medicine, London, UK;9. Keele University, School of Medicine, Institute of Science and Technology in Medicine, Guy Hilton Research Centre, Thornburrow Drive, Hartshill, Stoke-on-Trent, UK; England Dentistry, London, UK;10. School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, Scotland, UK;11. Department of Orthopaedic Surgery, Hospital Sant Rafael, Barcelona, Spain;12. Centre of Orthopaedics, North Estonia Medical Centre, Tallinn, Estonia;13. Department of Orthopaedics, East-Tallinn Central Hospital, Tallinn, Estonia;1. Foot and Ankle Unit, Hospital Vall d′Hebron, Barcelona, Spain;2. Foot and Ankle Unit, Hospital de Clinicas - Universidad de la República, Montevideo, Uruguay;1. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Sakarya University, Sakarya, Turkey;2. Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Sakarya University, Sakarya, Turkey;3. Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Mehmet Akif Ersoy State Hospital, Canakkale, Turkey;4. Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey;1. Department of Orthopedics, The 925th Hospital, 67# Huanghe RD, Guiyang 550009, Guizhou, China;2. Department of Anaesthesia, The 925th Hospital, 67# Huanghe RD, China;3. Department of Orthopedics, Xinqiao Hospital, 400037 Chongqing, China
Abstract:BackgroundThe present study aimed to investigate changes in hallux alignment after corrective surgery for adult-acquired flatfoot deformity (AAFD).Patients and methodsThe 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.ResultsHallux 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.ConclusionsHindfoot fusion for AAFD could improve preoperative HV deformity to some degree. HV correction was associated with proper realignment of the midfoot and hindfoot.Level of evidenceLevel IV; retrospective case series
Keywords:Flatfoot  Hallux valgus  Hindfoot fusion  Pes planovalgus  Triple arthrodesis
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