Surgical procedures for treatment of adult acquired flatfoot deformity: a network meta-analysis

Journal of Orthopaedic Surgery and Research
Xu TaoKang-Lai Tang

Abstract

Adult acquired flatfoot deformity (AAFD) represents a spectrum of deformities affecting the foot and the ankle. The optimal management of AAFD remains controversial. We evaluated the efficacy of surgical treatments of AAFD using both direct and indirect evidences. We searched PubMed, EmBase, and the Cochrane Library to identify eligible studies conducted through November 2018. To compare different surgical strategies, we performed a network meta-analysis. A traditional meta-analysis using a random-effects model was used to evaluate the pooled outcome. A total of 21 studies including 498 patients were collected and analyzed. Network meta-analysis results based on lateral angle talocalcaneal-calcaneal pitch (LAT-CP) indicated that medial displacement calcaneal osteotomy (MDCO) has the highest probability to be the best course of AAFD treatment. However, analyses based on anteroposterior talo-first metatarsal (AP-TMT1) and lateral angle talocalcaneal talo-first metatarsal (LAT-TMT1) suggested that lateral column lengthening (LCL) was the best treatment, while those based on lateral angle talocalcaneal-arch height, anteroposterior talocalcaneal (AP-TC), lateral angle talocalcaneal-talocalcaneal (LAT-TC), anteroposterior-talonavicul...Continue Reading

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Citations

Feb 13, 2020·Medicine·Zongyu YangSentian Li
Sep 29, 2020·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Anoop S SumalRobert H Whitaker
Jan 16, 2021·Foot & Ankle International·Michelle M ColemanGregory P Guyton
Apr 4, 2021·International Journal of Environmental Research and Public Health·Óscar Madruga-ArmadaMarta San-Antolín
Aug 8, 2021·International Journal of Environmental Research and Public Health·Ngoc-Tuyet-Trinh HoangLi-Wei Chou

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