title: Double calcaneal osteotomy and percutaneous tenoplasty for adequate arch restoration in adult flexible flat foot.
abstract: Treatment of adult acquired flexible flat foot deformity can be problematic. Triple arthrodesis for structural correction has been the standard of care, thus sacrificing hind foot motion. The objective of this study was to assess the value of double calcaneal osteotomies in improving structural alignment while maintaining hind foot motion, which may further protect the function of adjacent motion segments. Double calcaneal osteotomies (Evans osteotomy and posterior calcaneal displacement osteotomy) were performed on 17 feet of 14 patients. Postoperative follow-up showed significant improvement in clinical foot and ankle scores.
authors.affiliation: Department of Orthopaedic Surgery, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
authors.forename: Yehia
authors.initials: Y
authors.lastname: Basioni
authors.forename: Abdel-Rahman
authors.initials: AR
authors.lastname: El-Ganainy
authors.forename: Ahmed
authors.initials: A
authors.lastname: El-Hawary
mesh_terms: D000125:Achilles Tendon / Q000000981:diagnostic imaging / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D001864:Bone Wires; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000601:surgery*; D005413:Flatfoot / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D033023:Foot Joints / Q000502:physiology; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult