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At least 127 records · Page 7Linked to original sources
PubMed1991

[Surgical treatment of spastic flatfoot using Gorynski's method].

After failure analysis in so far applied surgical treatment of spastic flatfoot the technique of synthesis of already existing procedures have been offered. Foot alignment is achieved by the reduction of the talus in relation to the calcaneus that is secured by bony graft after Grice and front-rearfoot alignment with Kirschner's wire fixation through calcaneus to talus and secondly cuboid to calcaneus. The muscular balance is provided by elongation of the calcaneal tendon and transposition of peroneal brevis tendon into tendon of tibialis posterior muscle. In the after treatment long cast immobilization is after 3 weeks replaced by walking cast for next 9 weeks. This management proved to be clinically successful for 15 years.

Bone Transplantation↗
PubMed2006

[Tibialis posterior tendon dysfunction. An often neglected cause of painful adult flatfoot].

The posterior tibialis tendon is the most important dynamic stabilizer of the medial longitudinal arch of the foot. Posterior tibial tendon dysfunction (PTTD) may result from an acute trauma or a progressive degeneration of the tendon and should be suspected in painful flatfoot. The diagnosis is largely clinical, based on pain, tenderness and swelling along the tendon underneath the medial malleolus, the too-many-toes sign and persistant hindfoot valgus during heel rise. Untreated PTTD often results in total collapse of the longitudinal arch and severe osteoarthritis of the ankle or hindfoot. In traumatic cases acute repair of the tendon should be considered.

Adult↗
PubMed1989

Criteria for combined procedure selection in the surgical correction of the acquired flatfoot.

Surgical correction of the flexible acquired flatfoot has long been subject to procedures based on an unsound understanding of the true pathomechanics of the deformity. With the advent of modern biomechanics and the concept of planal dominance, procedure selection can become a more exacting science. A classification system based on the progression of symptoms, used in concert with a firm understanding of the primary and compensatory deformities can simplify the process of selecting combined procedures to deal with a particular foot type.

Flatfoot↗
PubMed1989

A modified subtalar arthroereisis implant for the correction of flexible flatfoot in children. The STA Peg procedure.

The STA Peg procedure was developed to correct flexible flatfoot in young children prior to the age when secondary deformities are likely to develop. The procedure involves the implantation of a peg fashioned from ultra-high molecular weight polyethylene into the dorsal surface of the calcaneus, anterior to the posterior facet of the subtalar joint and fixed with polymethylmethacrylate. Smith has reported excellent overall results in the great majority of patients. The primary importance of the procedure is its rate of success, coupled with a relatively easy postoperative period, virtually no immobilization, its application for very young patients (beginning at 3 years of age), and its accommodation for the continued growth of the child.

Arthrodesis↗
PubMed1989

Triple arthrodesis as a salvage for end-stage flatfoot.

End-stage flatfoot is a challenging surgical deformity. It is most commonly rigid and painful, although it may be totally or partially reducible. Arthrosis may be a major feature causing pain, but not necessarily. The terminology "end-stage" means that the deformity and compensation has progressed as far as it will go and that salvage is required when disabling. The most dramatic and effective operation available to solve this problem is triple arthrodesis in its various modifications. The problems associated with this condition and the applied operation have been discussed.

Ankle Joint↗
PubMed1989

New and investigative procedures for flatfoot surgery.

For those patients who need it, surgical intervention for flatfoot at an early stage affords a better chance for favorable results. Various procedures that have stood the test of time and investigative procedures are presented. It is suggested that the podiatric surgeon concentrate on tested procedures and wait for further reports on investigative procedures.

Child↗
PubMed1979

[The etiopathogenesis of hammer toe flatfoot (author's transl)].

In consideration of the present literature and the analysis of their own 15 cases the authors present their theory of etiopathogenesis. A primary or secondary pes planus is the primary deformity. The muscle is the cause of the definitio deformity: the hammer toe flatfoot.

Flatfoot↗
PubMedDate not supplied

The Evans calcaneal osteotomy for correction of flexible flatfoot syndrome.

The Evans calcaneal osteotomy is used to correct the flexible flatfoot deformity. The procedure restores functional integrity to the medial longitudinal arch and reestablishes the locking mechanism of the midtarsal joint complex. A preliminary analysis of 36 cases (50 feet) performed at Atlanta Hospital and Medical Center during the past 3 years has yielded favorable results.

Bone Transplantation↗
PubMed1980

[Morphofunctional changes in human flatfoot].

The process of the flatfoot formation is accompanied not only by stretching but also by pressing of the plantar ligaments and muscles. In the plantar aponeurosis and ligaments subjected to pressing, adaptive rearrangements are observed; they are accompanied by transformation of the fibrillar connective tissue into cartilaginous one, that rather prevents the ligaments to affect the heigh of the fornix. In the structure of the plantar muscles rather noticeable changes occur, destructive ones including, that is seen in their microscopical picture.

Adult↗
PubMed1983

Modified Hoke-Miller flatfoot procedure.

Within a relatively limited follow-up study of ten patients, the modified Hoke-Miller flatfoot operation proved effective both in removing symptoms and changing the architecture of the foot.

Adolescent↗
PubMed1983

Acquired flatfoot in adults.

The main causes of the acquired flatfoot deformity in adults are reviewed. This condition can be extremely disabling; however, careful analysis combined with thoughtful conservative management or surgical treatment can usually enable the patient to maintain a functional level.

Adult↗
PubMedDate not supplied

Rigid painful flatfoot secondary to tarsal coalition.

Rigid flatfoot secondary to tarsal coalition requires proper clinical and roentgenographic evaluation. In patients with limited subtalar motion and pain in the tarsal area, a coalition should be suspected. Proper roentgenographic evaluation with standard anteroposterior, lateral, and oblique views is essential. Calcaneonavicular coalition, as visible on an oblique film, may be a solid bony fusion or, more often, a cartilaginous coalition, which is characterized by flattening of the calcaneus and navicular at their junction. Axial (Harris) views demonstrate coalition in the middle and posterior facets, which may be cartilaginous or osseous. Lateral tomography is used to demonstrate irregularities of the anterior facet or the undersurface of the talar head. When symptomatic, a calcaneonavicular coalition with no degenerative changes of the tarsal joints is treated by resecting the bar and inserting the extensor digitorum brevis into the area from which the coalition is excised. An osseous bar is resected, or, if degenerative changes are noted, a triple arthrodesis is performed. Talocalcaneal coalition is first treated conservatively by a regimen of Plastizote shoe inserts, short-leg casts, or an ankle-foot orthosis. If conservative treatment fails to alleviate pain, a triple arthrodesis is indicated.

Adolescent↗
PubMed1982

Silastic sphere arthroereisis for surgical treatment of flexible flatfoot: a preliminary report.

Numerous procedure have been proposed for the treatment of flexible flatfoot. Many procedures use bone blocks and bond grafts placed into the sinus tarsi to limit subtalar joint motion. Arthroereisis is the limitation of exogenous joint motion without complete arthrodesis. This has been performed by utilizing a variety of endoprosthetic devices. Some require suture or bone cement for placement. Such techniques may add to the complications and limitations of these procedures. When indicated, the implantation of a Silastic 3 sphere into the sinus tarsi appears to be a promising alternative. The procedure is uncomplicated and does not require an osteotomy, grafting, cement, or internal or external fixation. Joint integrity is maintained without violation of the talocalcaneal articular facets. Properly performed, the Silastic sphere is self contained and retained with minimal potential of subluxation. The sphere also functions with a "ball-bearing" action, thereby reducing the abrupt torsional forces of impaction while limiting excessive pronation.

Adolescent↗
PubMed1981

Calcaneal osteotomy in the management of flexible and nonflexible flatfoot deformity: a preliminary report.

Posterior and anterior types of calcaneal osteotomy have proved successful in properly selected cases at Lindell Hospital. The procedures described provide an alternative method of management of flatfoot deformity in some cases and offer the advantage of not interfering directly with subtalar joint motion. Our preliminary results with 20 calcaneal osteotomies of the posterior type have been excellent to this time. In the postadolescent patient, the posterior calcaneal osteotomy (type II) offers a rapid means of gaining some degree of stability in significantly pronated subtalar joints in properly selected cases. In the younger patient, when indicated, posterior calcaneal osteotomy of either type I or type II offers the advantage of not introducing biomaterials with possible long-term sequelae, and it offers the additional advantage of not interfering directly with subtalar joint motion.

Adult↗