Advertisement
Research Article| Volume 34, ISSUE 2, P183-194, March 1995

Download started.

Ok

Combined technique for surgical correction of pediatric severe flexible flatfoot

  • Author Footnotes
    1 Associate Professor, Division of Orthopedics; Diplomate, American Board of Podiatric Orthopedics.
    ,
    Author Footnotes
    a From the New York College of Podiatric Medicine, and North General Hospital, New York, New York.
    Ellen Cohen-Sobel
    Correspondence
    Address correspondence to: 54 East 124th Street, New York, NY 10035.
    Footnotes
    1 Associate Professor, Division of Orthopedics; Diplomate, American Board of Podiatric Orthopedics.
    a From the New York College of Podiatric Medicine, and North General Hospital, New York, New York.
    Search for articles by this author
  • Author Footnotes
    2 Professor, Division of Surgery; Chief, Podiatric Surgery and Residency Director, North General Hospital.
    ,
    Author Footnotes
    a From the New York College of Podiatric Medicine, and North General Hospital, New York, New York.
    Renato Giorgini
    Footnotes
    2 Professor, Division of Surgery; Chief, Podiatric Surgery and Residency Director, North General Hospital.
    a From the New York College of Podiatric Medicine, and North General Hospital, New York, New York.
    Search for articles by this author
  • Author Footnotes
    3 Surgical Fellow, North General Hospital.
    ,
    Author Footnotes
    a From the New York College of Podiatric Medicine, and North General Hospital, New York, New York.
    Zunilda Velez
    Footnotes
    3 Surgical Fellow, North General Hospital.
    a From the New York College of Podiatric Medicine, and North General Hospital, New York, New York.
    Search for articles by this author
  • Author Footnotes
    a From the New York College of Podiatric Medicine, and North General Hospital, New York, New York.
    1 Associate Professor, Division of Orthopedics; Diplomate, American Board of Podiatric Orthopedics.
    2 Professor, Division of Surgery; Chief, Podiatric Surgery and Residency Director, North General Hospital.
    3 Surgical Fellow, North General Hospital.
      This paper is only available as a PDF. To read, Please Download here.
      Ten patients with 12 symptomatic severe flatfeet were treated with a combined surgical technique. Patients 10 years or older were treated with Evan's calcaneal osteotomy, Young tenosuspension, and tendo achillis lengthening. Patients under age 10 were treated with modified Young tenosuspension, talonavicular desmoplasty and subtalar arthroereisis. Eight of the 10 patients had marked relief in pain and fatigue and were able to perform all physical activities. Radiographic criteria showed improvement for all patients in all categories.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal of Foot and Ankle Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bordelon R.L.
        Correction of hypermobile flatfoot in children by molded insert.
        Foot Ankle. 1980; 1: 143-150
        • Scranton P.E.
        Management of hypermobile flatfoot in the child.
        Contemp. Orthop. 1981; 3: 645-672
        • Viladot A.
        Surgical treatment of the child's flatfoot.
        Clin. Orthop. Rel. Res. 1992; 283: 34-38
        • Dockery G.L.
        Surgical treatment of the symptomatic juvenile flexible flatfoot condition.
        Clin. Pod. Med. Surg. 1987; 4: 99-117
        • Mosca V.S.
        Flexible flatfoot and skewfoot, ch. 17.
        in: Drennan J.C. The Child's Foot and Ankle. Raven Press, Ltd., New York1992: 355-376
        • Smith S.D.
        • Millar E.A.
        Arthrorisis by means of a subtalar polyethylene peg implant for correction of hindfoot pronation in children.
        Clin. Orthop. Rel. Res. 1983; 181: 15-23
        • Subotnick S.I.
        The subtalar joint lateral extra-articular arthroereisis: A preliminary report.
        J. A. P. A. 1974; 64: 701-711
        • Anderson A.F.
        • Fowler S.B.
        Anterior calcaneal osteotomy for symptomatic juvenile pes planus.
        Foot Ankle. 1984; 4: 274-283
        • Crego C.H.
        • Ford L.T.
        An end-result study of various operative procedures for correcting flat feet in children.
        J. Bone Joint Surg. 1952; 34A: 183-195
        • Bordeion R.L.
        Flatfoot Deformity.
        in: Myerson M. Current Therapy in Foot and Ankle Surgery. Mosby-Year Book, Inc., Chicago1993: 188-194
        • Mahan K.T.
        • McGlamry E.D.
        • Green D.R.
        Pes Planovalgus Deformity, ch. 31.
        in: McGlamry E.D. Surgery of the Foot and Ankle. 2nd ed. Williams & Wilkins, Baltimore1992: 769-817
        • Yu G.V.
        • Boberg J.
        Subtalar Arthroereisis, ch. 32.
        in: McGlamry E.D. Surgery of the Foot and Ankle. 2nd ed. Williams & Wilkins, Baltimore1992: 818-828
        • Phillips G.E.
        A review of elongation of os calcis for flat feet.
        J. Bone Joint Surg. 1983; 65B: 15-18
        • Sgarlato T.
        Pediatric foot surgery.
        Clin. Pod. Med. Surg. 1984; 1: 709-723
        • Seymour N.
        The late results of naviculo-cuneiform fusion.
        J. Bone Joint Surg. 1967; 49B: 558-559
        • Butte F.L.
        Naviculo-cuneiform arthrodesis for flatfoot: an end result study.
        J. Bone Joint Surg. 1937; 19: 496-502
        • Wenger D.R.
        Flatfoot and Children's Shoes, ch. 3.
        in: Wenger D.R. Rang M. The Art and Practice of Children's Orthopaedics. Raven Press, New York1993: 77-102
        • LeLievre J.
        Current concepts and correction in the valgus foot.
        Clin. Orthop. Rel. Res. 1970; 70: 43-55
        • Barry R.J.
        • Scranton P.E.
        Flat feet in children.
        Clin. Orthop. Rel. Res. 1983; 181: 68-75
        • Sangeorzan B.J.
        • Mosca V.
        • Hansen S.T.
        Effect of calcaneal lengthening on relationships among the hindfoot, midfoot, and forefoot.
        Foot Ankle. 1993; 14: 136-141
        • Evans D.
        Calcaneo-valgus deformity.
        J. Bone Joint Surg. 1975; 57B: 270-278
        • Jacobs A.M.
        • Oloff L.M.
        Surgical management of forefoot supinatus in flexible flatfoot deformity.
        J. Foot Surg. 1984; 23: 410-419
        • Banks A.S.
        • Smith T.F.
        Operative treatment of non-neurogenic pes valgus feet, ch. 14.
        in: DeValentine S. Foot and Ankle Disorders in Children. Churchill Livingstone, New York1992: 329-367
        • Subotnick S.I.
        New and investigative procedures for flatfoot surgery.
        Clin. Pod. Med. Surg. 1989; 6: 605-611
        • Young C.S.
        Operative treatment of Pes Planus.
        Surg. Gynecol. Obstet. 1939; 68: 1099-1101
        • Beck E.L.
        • McGlamry E.D.
        Modified Young tendosuspension technique for flexible flatfoot.
        J. A. P. A. 1973; 63: 582-604
        • Spinner S.M.
        • Chussid F.
        • Long D.H.
        Criteria for combined procedure selection in the surgical correction of the acquired flatfoot.
        Clin. Pod. Med. Surg. 1989; 6: 561-575
        • Giorgini R.J.
        • Schiraldi F.G.
        • Hernandez P.A.
        Subtalar arthro-ereisis: A combined technique.
        J. Foot Surg. 1988; 27: 157-160
        • Mahan K.T.
        • McGlamry E.D.
        Evans calcaneal osteotomy for flexible pes valgus deformity: a preliminary study.
        Clin. Pod. Med. Surg. 1987; 4: 137-151
        • Catanzariti A.R.
        Medial column stabilization.
        Clin. Pod. Med. Surg. 1991; 8: 667-692
        • Dollard M.D.
        • Marcinko D.E.
        • Lazerson A.
        • Elleby D.H.
        The Evans calcaneal osteotomy for correction of flexible flatfoot syndrome.
        J. Foot Surg. 1984; 23: 291-301
        • Schwartz N.H.
        • Tursi F.J.
        A new surgical technique for the treatment of pes planus deformity: A preliminary report.
        J. Foot Surg. 1987; 26: 149-152
        • Addante J.B.
        • Chin M.W.
        • Loomis J.C.
        • Burleigh W.
        • Lucarelli J.E.
        Subtalar joint arthroereisis with SILASTIC® silicone sphere: A retrospective study.
        J. Foot Surg. 1992; 31: 47-51
        • Lanham R.H.
        Indications and complications of arthroereisis in hypermobile flatfoot.
        J. A. P. A. 1979; 69: 178-185
        • Lundeen R.O.
        The Smith STA-peg operation for hypermobile pes planovalgus in children.
        J. A. P. M. A. 1985; 4: 177-183
        • Smith S.D.
        • Wagreich C.R.
        Review of postoperative results of the subtalar arthrorisis operation: A preliminary study.
        J. Foot Surg. 1984; 23: 253-260
        • Brim S.P.
        • Hecker R.
        The Evans calcaneal osteotomy: Postoperative care and an evaluation of the metatarsus adductus angle.
        J. Foot Ankle Surg. 1994; 33: 2-5