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Surgical management of severe planovalgus foot deformity in children with generalised joint hypermobility

Authors
 Mohammed Salman Alhassan  ;  Byoung Kyu Park  ;  Mudit Shah  ;  Kun-Bo Park  ;  Hoon Park  ;  Isaac Rhee  ;  Hyun Woo Kim 
Citation
 FOOT AND ANKLE SURGERY, : epub., 2024-07 
Journal Title
FOOT AND ANKLE SURGERY
ISSN
 1268-7731 
Issue Date
2024-07
Keywords
Calcaneal lengthening osteotomy ; Double arthrodesis of the talonavicular and calcaneocuboid joints ; Generalised joint hypermobility ; Planovalgus foot deformity
Abstract
Background: This study aimed to evaluate the outcomes of calcaneal lengthening osteotomy (CLO) and double arthrodesis of the talonavicular and calcaneocuboid joints (DA) for correcting planovalgus foot deformity exclusively in patients with generalised joint hypermobility.

Methods: We retrospectively reviewed 29 feet in 17 consecutive patients who underwent either CLO or DA. The mean age at surgery was 11.3 ± 2.3 years, and the mean follow-up duration was 7.7 ± 3.2 years. Preoperative and final follow-up radiographs and dynamic foot-pressure measurements were analysed.

Results: Both operations significantly improved the radiographic parameters, except for the lateral talocalcaneal angle in the CLO group. Pedobarographic study demonstrated an elevation of the medial longitudinal arch and an improved foot-pressure distribution after both surgeries. The plantar pressure in the lateral forefoot significantly increased only in the DA group, while the pressures exerted on the medial forefoot and hindfoot and the arch index improved only in the CLO group.

Conclusions: Both CLO and DA effectively improve the foot alignments of the deformity in patients with generalised joint hypermobility. However, differences were observed in the changes in the lateral talocalcaneal angle and plantar pressure distribution between the two procedures.



Level of evidence: Therapeutic Level III.
Full Text
https://www.sciencedirect.com/science/article/pii/S1268773124001541
DOI
10.1016/j.fas.2024.07.004
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Park, Kun Bo(박건보) ORCID logo https://orcid.org/0000-0002-8839-4870
Park, Hoon(박훈) ORCID logo https://orcid.org/0000-0002-8063-3742
Lee, Sak(이삭) ORCID logo https://orcid.org/0000-0001-6130-2342
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/201207
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