Guest Editorial: Expert Consensus on Adult-Acquired Flatfoot Deformity

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Approach and treatment of the adult acquired flatfoot deformity.

Adult acquired flatfoot deformity (AAFD), embraces a wide spectrum of deformities. AAFD is a complex pathology consisting both of posterior tibial tendon insufficiency and failure of the capsular and ligamentous structures of the foot. Each patient presents with characteristic deformities across the involved joints, requiring individualized treatment. Early stages may respond well to aggressive...

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Triple arthrodesis for the adult-acquired flatfoot deformity.

Triple arthrodesis is often the procedure of choice for end-stage adult-acquired flatfoot. The benefits of triple arthrodesis include resolution of symptoms, hindfoot realignment, and stability. This article reviews the operative technique, realignment considerations, and postoperative management when performing triple arthrodesis. When taken into account, these recommendations provide a favora...

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Triple arthrodesis for adult acquired flatfoot.

The primary goal of triple arthrodesis for stage III and IV adult acquired flatfoot is to obtain a well-aligned plantigrade foot that will support the ankle in optimal alignment. Ancillary procedures including posterior muscle group lengthening, medial displacement calcaneal osteotomy, medial column stabilization, peroneus brevis tenotomy, or transfer and harvest of regional bone graft are ofte...

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Effects of Surgical Correction for the Treatment of Adult Acquired Flatfoot Deformity: A Computational Investigation

Computational models of the foot/ankle complex were developed to predict the biomechanical consequences of surgical procedures that correct for stage II adult acquired flatfoot deformity. Cadaveric leg and foot bony anatomy was captured by CT imaging in neutral flexion and imported to the modeling software. Ligaments were approximated as tension only springs attached at insertion sites. Muscle ...

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Plantar forces in flexor hallucis longus versus flexor digitorum longus transfer in adult acquired flatfoot deformity.

BACKGROUND Flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendon transfers are frequently used to restore the function of a deficient tibialis posterior tendon in stage II adult acquired flatfoot deformity (AAFD). Either transfer causes some loss in toe flexion force, although the decision to tenodese the cut tendon to restore associated function remains controversial. This stud...

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ژورنال

عنوان ژورنال: Foot & Ankle International

سال: 2020

ISSN: 1071-1007,1944-7876

DOI: 10.1177/1071100720950715