거골하 관절 제동술을 이용한 편평족의 치료 결과
Clinical Results of the Subtalar Arthroereisis for the Flat Foot
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Purpose: To determine the clinical and radiographic results of arthroereisis using the Kalix(R) implant (Newdeal, Lyon, France) for the treatment of flexible flatfoot deformity. Materials and Methods: From February 2005 to February 2007, we performed the subtalar arthroereisis on 8 patients (9 feet) of symptomatic flexible flat feet after more than 6 months of conservative treatment. Average age was 14.5 years (11~29 years) old. We checked the functional status with AOFAS functional score pre-operatively and at final follow-up. Radiologically, we took weight bearing anterior to posterior and lateral view of the feet, and measured the talo-first metatarsal angle, calcaneal pitch angle in pre-operatively and at final follow-up. Results: Mean follow up period was 34.4 months. Average AOFAS score improved from preoperatively 65.6 to postoperatively 94.8. Average lateral talo-first metatarsal angle reduced from 12.8° preoperatively to 1.6° at final follow-up. Average anterior to posterior talo-first metatarsal angle was reduced from 15.1° preoperatively to 8.3° at final follow-up. Average calcaneal pitch angle was increased from 9.5° preoperatively to 12.0° at final follow-up. Conclusions: Subtalar arthroereisis with Kalix(R) implant can be considered to be one of treatment options symptomatic flatfoot deformity patients.
Abstract
Purpose: To determine the clinical and radiographic results of arthroereisis using the Kalix(R) implant (Newdeal, Lyon, France) for the treatment of flexible flatfoot deformity. Materials and Methods: From February 2005 to February 2007, we performed the subtalar arthroereisis on 8 patients (9 feet) of symptomatic flexible flat feet after more than 6 months of conservative treatment. Average age was 14.5 years (11~29 years) old. We checked the functional status with AOFAS functional score pre-operatively and at final follow-up. Radiologically, we took weight bearing anterior to posterior and lateral view of the feet, and measured the talo-first metatarsal angle, calcaneal pitch angle in pre-operatively and at final follow-up. Results: Mean follow up period was 34.4 months. Average AOFAS score improved from preoperatively 65.6 to postoperatively 94.8. Average lateral talo-first metatarsal angle reduced from 12.8° preoperatively to 1.6° at final follow-up. Average anterior to posterior talo-first metatarsal angle was reduced from 15.1° preoperatively to 8.3° at final follow-up. Average calcaneal pitch angle was increased from 9.5° preoperatively to 12.0° at final follow-up. Conclusions: Subtalar arthroereisis with Kalix(R) implant can be considered to be one of treatment options symptomatic flatfoot deformity patients.
참고문헌 (25)
- Arangio GA, "A biomechanical model of the effect of subtalar arthroereisis on the adult flexible flat foot", Clin Biomech (Bristol Avon), 19, pp.847~852 (2004)
- Bertani A, "Clin Biomech(Bristol,Avon)", 14, pp.484~493 (1999)
- Cappello T, "Determining treatment of flatfeet in children", Curr Opin Pediatr, 10, pp.77~81 (1998)
- Chang TJ, "Subtalar joint arthroereisis in adultacquired flatfoot and posterior tibial tendon dysfunction", Clin Podiatr Med Surg, 24, pp.687~697 (2007)
- Ferciot CF, "The etiology of developmental flatfoot", Clin Orthop Relat Res, 85, pp.7~10 (1972)
- Forg P, "Flake-Austin modification of the STA-Peg arthroereisis: a retrospective study", J Am Podiatr Med Assoc, 91, pp.394~405 (2001)
- Giannini BS, "Surgical treatment of flexible flatfoot in children a four-year follow-up study", J Bone Joint Surg, 83(A), pp.73~79 (2001)
- Giannini S, "Johnson Memorial Lecture. Operative treatment of the flatfoot: why and how", Foot Ankle Int, 19, pp.52~58 (1998)
- Gutierrez PR, "Giannini prosthesis for flatfoot", Foot Ankle Int, 26, pp.918~926 (2005)
- Lanham RH, "Indications and complications of arthroereisis in hypermobile flatfoot", J Am Podiatry Assoc, 69, pp.178~185 (1979)
- Lee KT, "The Results of Subtalar Arthroereisis for Flexible Flatfoot of Children", J Korean Foot Ankle Soc, 10, pp.218~222 (2007)
- LeLievre J, "Current concepts and correction in the valgus foot", Clin Orthop Relat Res, 70, pp.43~55 (1970)
- Myerson MS, "Treatment of posterior tibial tendon dysfunction with flexor digitorum longus tendon transfer and calcaneal osteotomy", Orthopedics, 19, pp.383~388 (1996)
- Needleman RL, "Current topic review: subtalar arthroereisis for the correction of flexible flatfoot", Foot Ankle Int, 26, pp.336~346 (2005)
- Needleman RL, "A surgical approach for flexible flatfeet in adults including a subtalar arthroereisis with the MBA sinus tarsi implant", Foot Ankle Int, 27, pp.9~18 (2006)
- Oloff LM, "J Foot Surg", Complications of subtalar arthroereisis, 26, pp.136~140 (1987)
- Pinney SJ, "Current concept review: acquired adult flatfoot deformity", Foot Ankle Int, 27, pp.66~75 (2006)
- Rockett AK, "Bilateral intraosseous cystic formation in the talus: a complication of subtalar arthroeresis", J Foot Ankle Surg, 37, pp.421~425 (1998)
- Roye DP, "Surgical treatment of the child’s and adolescent’s flexible flatfoot", Clin Podiatr Med Surg, 17, pp.515~530 (2000)
- Schon LC, "Subtalar arthroereisis: a new exploration of an old concept", Foot Ankle Clin, 12, pp.329~339 (2007)
- Siff TE, "Avascular necrosis of the talus following subtalar arthrorisis with a polyethylene endoprosthesis: a case report", Foot Ankle Int, 21, pp.247~249 (2000)
- Subotnick SI, "The subtalar joint lateral extra-articular arthroereisis: a follow-up report", J Am Podiatry Assoc, 67, pp.157~171 (1977)
- Vedantam R, "Subtalar arthroereisis for the correction of planovalgus foot in children with neuromuscular disorders", J Pediatr Orthop, 18, pp.294~298 (1998)
- Viladot R, "Subtalar arthroereisis for posterior tibial tendon dysfunction: a preliminary report", Foot Ankle Int, 24, pp.600~606 (2003)
- Wenger DR, "Corrective shoes and inserts as treatment for flexible flatfoot in infants and children", J Bone Joint Surg, 71(A), pp.800~810 (1989)