Outcomes of Reconstruction of the Stage II Adult-Acquired Flatfoot Deformity in Older Patients

Foot & Ankle International
Matthew S ContiScott J Ellis

Abstract

Reconstruction of the stage II adult-acquired flatfoot deformity (AAFD) often requires the use of multiple osteotomies and soft tissue procedures that may not heal well in older patients. The purpose of our study was to determine whether patients older than 65 years with stage II AAFD had inferior clinical outcomes or an increased number of subsequent surgical procedures after flatfoot reconstruction when compared with younger patients. One-hundred forty consecutive feet (70 right, 70 left) with stage II AAFD in 137 patients were divided into 3 groups based on age: younger than 45 years (young; n = 21), 45 to 65 years (middle-aged; n = 87), and 65 years and older (older; n = 32). Preoperative and postoperative Foot and Ankle Outcome Scores (FAOSs) at a minimum of 2 years were compared. Hospital records were reviewed to determine if patients underwent a subsequent procedure postoperatively. Patients in the older group did not demonstrate any differences in changes in FAOS subscales compared with patients in the young and middle-aged groups (all P > .15). The older group had significant preoperative to postoperative improvements in all the FAOS subgroups ( P < .01). In addition, patients in the older group were not more likely to...Continue Reading

References

Jun 2, 2001·Foot and Ankle Clinics·S Mosier-LaClairA Manoli
Jan 31, 2006·Foot & Ankle International·Stephen J Pinney, Sheldon S Lin
Jul 10, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Jonathan T Deland
Aug 30, 2008·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Jonathan T DelandSteven Choung
Mar 21, 2013·Foot & Ankle International·Sriniwasan B ManiScott J Ellis
May 8, 2015·Foot & Ankle International·Matthew S ContiJonathan T Deland

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Citations

Feb 6, 2019·Geriatric Orthopaedic Surgery & Rehabilitation·Tochukwu C IkpezeIrvin Oh
Aug 25, 2020·Foot & Ankle Specialist·Kathryn WhitelawChristopher W DiGiovanni
Jun 20, 2019·Foot & Ankle International·Shanika RajapaksheKate Redfern
Aug 3, 2019·Foot & Ankle International·Jensen K HenryScott Ellis
May 17, 2019·The Journal of Bone and Joint Surgery. American Volume·Timothy R DanielsJacob Matz
Feb 11, 2021·Zeitschrift für Orthopädie und Unfallchirurgie·Kevin DöringStephan Puchner
Jan 30, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kensei YoshimotoKen Okazaki
Jan 3, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Jaeyoung KimWoo-Chun Lee

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