Analysis of gastrocnemius recession and medial column procedures as adjuncts in arthroereisis for the correction of pediatric pes planovalgus: a radiographic retrospective study

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Luke D CicchinelliDiana Fernández Morato

Abstract

The radiographic outcomes of 28 feet in 20 pediatric patients with pes planovalgus treated with subtalar arthroereisis, arthroereisis combined with gastrocnemius recession, or arthroereisis combined with gastrocnemius recession and medial column reconstruction were retrospectively analyzed. Preoperative and postoperative radiographic angles for talar declination, calcaneal inclination, and first metatarsal declination in the lateral view, and the angle formed between the longitudinal axis of the talus and the longitudinal axis of the lesser tarsus in the anteroposterior view were compared. Overall, analyses revealed statistically significant differences in the preoperative and postoperative radiographic angles for the 4 measured angles. Analysis by treatment group revealed statistically significant differences in correction of the angle measured in the anteroposterior view. Arthroereisis with gastrocnemius recession showed the greatest correction of this angle (median 19 degrees, range 11 degrees to 34 degrees) compared with the other treatment groups. There were no statistically significant differences in the degree of correction of the calcaneal inclination or talar declination angles, whereas a statistically significant diff...Continue Reading

References

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Sep 3, 2004·Clinical Biomechanics·George A ArangioEric P Salathe

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Citations

Apr 4, 2013·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Martinus Richter, Stefan Zech
Jul 17, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Michael E GrahamRyan J Rogers
Sep 29, 2011·Clinics in Podiatric Medicine and Surgery·Peter HighlanderLowell Weil
Jun 29, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Emily A CookPhilip Basile
Jun 11, 2015·Revista española de cirugía ortopédica y traumatología·S Calvo CalvoR Viña Fernández
Jun 11, 2010·Foot and Ankle Clinics·Pablo Fernández de RetanaRamón Viladot
Dec 8, 2009·Clinics in Podiatric Medicine and Surgery·Neal M BlitzLawrence A DiDomenico
Feb 6, 2018·The Open Orthopaedics Journal·Tun Hing Lui, Chong Yin Mak
Aug 31, 2019·Advances in Orthopedics·David Ruiz-PicazoSergio Losa-Palacios
Dec 31, 2020·International Journal of Environmental Research and Public Health·Cheng-Min HsuChia-Che Lee

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