• Users Online: 166
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2022  |  Volume : 8  |  Issue : 1  |  Page : 47-53

Evaluation of lateral column lengthening using autogenous fibular graft in the treatment of supple flat foot


Department of Orthopedic Surgery, Benha Faculty of Medicne Benha University, Egypt

Correspondence Address:
Gamal A Hosny
Department of Orthopedic, Benha University, Banha
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jllr.jllr_11_22

Rights and Permissions

Background: Treatment options of flat foot vary from using orthosis to arthrodesis and the surgical procedure varies from soft-tissue operations till bony osteotomies. We hypothesized that the clinical, functional, and radiological outcomes of lateral calcaneal lengthening osteotomy using fibular graft in the treatment of symptomatic flatfoot are satisfactory. Materials and Methods: A prospective study was conducted involving 25 feet of 25 patients who underwent lateral calcaneal lengthening due to symptomatic flexible flat foot. All patients underwent clinical and radiological evaluation preoperatively and postoperatively, American Orthopedic Foot and Ankle Society (AOFAS) hindfoot/ankle scoring preoperatively and postoperatively. All patients underwent osteotomy of the calcaneus using a saw, after a satisfactory correction of the deformity obtained, autogenous fibular graft was inserted in the osteotomy site, and tendon Achilles lengthening was performed. Results: In our study, we had 25 patients, the average age was 11.48 years. There were 15 girls and 10 boys. The average AOFAS preoperative score was 68.56 ± 5. A 3-month postoperative. The average score was 86.40 ± 3.65. A final AOFAS hindfoot/ankle score at the time of maximal follow-up (average 21 months; range, 6–36 months) had an average score of 95.19 ± 1. A final AOFAS hindfoot/ankle score at the time of maximal follow-up (average 21 months; range, 6–36 months). Conclusion: Isolated lateral column lengthening using autogenous fibular graft was found to provide significant correction of all components of the supple pes planovalgus and forefoot abduction deformity. Level of Evidence: Level IV.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed124    
    Printed2    
    Emailed0    
    PDF Downloaded4    
    Comments [Add]    

Recommend this journal