Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity
Lateral column lengthening (LCL) is a common procedure for reconstruction of stage II flexible adult-acquired flatfoot deformity (AAFD). The recent development of porous titanium wedges for this procedure provides an alternative to allograft and autograft. The purpose of this study was to report rad...
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| Veröffentlicht in: | Foot and ankle specialist 2018-08, Vol.11 (4), p.347-356 |
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| creator | Moore, Spencer H. Carstensen, S. Evan Burrus, M. Tyrrell Cooper, Truitt Park, Joseph S. Perumal, Venkat |
| description | Lateral column lengthening (LCL) is a common procedure for reconstruction of stage II flexible adult-acquired flatfoot deformity (AAFD). The recent development of porous titanium wedges for this procedure provides an alternative to allograft and autograft. The purpose of this study was to report radiographic and clinical outcomes achieved with porous titanium wedges in LCL. A retrospective analysis of 34 feet in 30 patients with AAFD that received porous titanium wedges for LCL from January 2011 to October 2014. Deformity correction was assessed using both radiographic and clinical parameters. Radiographic correction was assessed using the lateral talo–first metatarsal angle, the talonavicular uncoverage percentage, and the first metatarsocuneiform height. The hindfoot valgus angle was measured. Patients were followed from a minimum of 6 months up to 4 years (mean 16.1 months). Postoperative radiographs demonstrated significant correction in all 3 radiographic criteria and the hindfoot valgus angle. We had no cases of nonunion, no wedge migration, and no wedges have been removed to date. The most common complication was calcaneocuboid joint pain (14.7%). Porous titanium wedges in LCL can achieve good radiographic and clinical correction of AAFD with a low rate of nonunion and other complications.
Levels of Evidence: Level IV: Case series |
| doi_str_mv | 10.1177/1938640017735890 |
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Levels of Evidence: Level IV: Case series</description><identifier>ISSN: 1938-6400</identifier><identifier>EISSN: 1938-7636</identifier><identifier>DOI: 10.1177/1938640017735890</identifier><identifier>PMID: 29073794</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Arthrodesis - methods ; Cohort Studies ; Female ; Flatfoot - diagnostic imaging ; Flatfoot - surgery ; Follow-Up Studies ; Foot Deformities, Acquired - diagnostic imaging ; Foot Deformities, Acquired - surgery ; Humans ; Male ; Middle Aged ; Orthopedic Procedures - methods ; Porosity ; Prostheses and Implants ; Radiography - methods ; Retrospective Studies ; Risk Assessment ; Titanium ; Treatment Outcome</subject><ispartof>Foot and ankle specialist, 2018-08, Vol.11 (4), p.347-356</ispartof><rights>2017 The Author(s)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c252t-156ba5092d08ddc8d00bf98200506351170a652ea3b423973490c6198f3acfd83</citedby><cites>FETCH-LOGICAL-c252t-156ba5092d08ddc8d00bf98200506351170a652ea3b423973490c6198f3acfd83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1938640017735890$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1938640017735890$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29073794$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moore, Spencer H.</creatorcontrib><creatorcontrib>Carstensen, S. Evan</creatorcontrib><creatorcontrib>Burrus, M. Tyrrell</creatorcontrib><creatorcontrib>Cooper, Truitt</creatorcontrib><creatorcontrib>Park, Joseph S.</creatorcontrib><creatorcontrib>Perumal, Venkat</creatorcontrib><title>Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity</title><title>Foot and ankle specialist</title><addtitle>Foot Ankle Spec</addtitle><description>Lateral column lengthening (LCL) is a common procedure for reconstruction of stage II flexible adult-acquired flatfoot deformity (AAFD). The recent development of porous titanium wedges for this procedure provides an alternative to allograft and autograft. The purpose of this study was to report radiographic and clinical outcomes achieved with porous titanium wedges in LCL. A retrospective analysis of 34 feet in 30 patients with AAFD that received porous titanium wedges for LCL from January 2011 to October 2014. Deformity correction was assessed using both radiographic and clinical parameters. Radiographic correction was assessed using the lateral talo–first metatarsal angle, the talonavicular uncoverage percentage, and the first metatarsocuneiform height. The hindfoot valgus angle was measured. Patients were followed from a minimum of 6 months up to 4 years (mean 16.1 months). Postoperative radiographs demonstrated significant correction in all 3 radiographic criteria and the hindfoot valgus angle. We had no cases of nonunion, no wedge migration, and no wedges have been removed to date. The most common complication was calcaneocuboid joint pain (14.7%). Porous titanium wedges in LCL can achieve good radiographic and clinical correction of AAFD with a low rate of nonunion and other complications.
Levels of Evidence: Level IV: Case series</description><subject>Adult</subject><subject>Arthrodesis - methods</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Flatfoot - diagnostic imaging</subject><subject>Flatfoot - surgery</subject><subject>Follow-Up Studies</subject><subject>Foot Deformities, Acquired - diagnostic imaging</subject><subject>Foot Deformities, Acquired - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedic Procedures - methods</subject><subject>Porosity</subject><subject>Prostheses and Implants</subject><subject>Radiography - methods</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Titanium</subject><subject>Treatment Outcome</subject><issn>1938-6400</issn><issn>1938-7636</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UD1PwzAUtBCIlsLOhDyyBJ7jxI7HqlBAqgRDERJL5MROSZXErT-G_ntctTAgMb177-6ddIfQNYE7Qji_J4IWLAOImOaFgBM03p8Szig7PeI9P0IXzq0BGLCMnaNRKoBTLrIx-nwz1gSHl62XQxt6_KHVSjvcDnghvbaywzPThT6uelj5Lz20wwo3xuKpCp1PpvU2tFYrPO-kb4zx-EFHtm_97hKdNbJz-uo4J-h9_ricPSeL16eX2XSR1Gme-oTkrJI5iFRBoVRdKICqEUUKkAOjecwJkuWplrTKUio4zQTUjIiiobJuVEEn6Pbgu7FmG7TzZd-6WnedHHSMVhKR84wTwViUwkFaW-Oc1U25sW0v7a4kUO4bLf82Gl9uju6h6rX6ffipMAqSg8DJlS7XJtghpv3f8BvpZnzD</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Moore, Spencer H.</creator><creator>Carstensen, S. Evan</creator><creator>Burrus, M. Tyrrell</creator><creator>Cooper, Truitt</creator><creator>Park, Joseph S.</creator><creator>Perumal, Venkat</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201808</creationdate><title>Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity</title><author>Moore, Spencer H. ; Carstensen, S. Evan ; Burrus, M. Tyrrell ; Cooper, Truitt ; Park, Joseph S. ; Perumal, Venkat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c252t-156ba5092d08ddc8d00bf98200506351170a652ea3b423973490c6198f3acfd83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Arthrodesis - methods</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Flatfoot - diagnostic imaging</topic><topic>Flatfoot - surgery</topic><topic>Follow-Up Studies</topic><topic>Foot Deformities, Acquired - diagnostic imaging</topic><topic>Foot Deformities, Acquired - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedic Procedures - methods</topic><topic>Porosity</topic><topic>Prostheses and Implants</topic><topic>Radiography - methods</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Titanium</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moore, Spencer H.</creatorcontrib><creatorcontrib>Carstensen, S. Evan</creatorcontrib><creatorcontrib>Burrus, M. Tyrrell</creatorcontrib><creatorcontrib>Cooper, Truitt</creatorcontrib><creatorcontrib>Park, Joseph S.</creatorcontrib><creatorcontrib>Perumal, Venkat</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot and ankle specialist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moore, Spencer H.</au><au>Carstensen, S. Evan</au><au>Burrus, M. Tyrrell</au><au>Cooper, Truitt</au><au>Park, Joseph S.</au><au>Perumal, Venkat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity</atitle><jtitle>Foot and ankle specialist</jtitle><addtitle>Foot Ankle Spec</addtitle><date>2018-08</date><risdate>2018</risdate><volume>11</volume><issue>4</issue><spage>347</spage><epage>356</epage><pages>347-356</pages><issn>1938-6400</issn><eissn>1938-7636</eissn><abstract>Lateral column lengthening (LCL) is a common procedure for reconstruction of stage II flexible adult-acquired flatfoot deformity (AAFD). The recent development of porous titanium wedges for this procedure provides an alternative to allograft and autograft. The purpose of this study was to report radiographic and clinical outcomes achieved with porous titanium wedges in LCL. A retrospective analysis of 34 feet in 30 patients with AAFD that received porous titanium wedges for LCL from January 2011 to October 2014. Deformity correction was assessed using both radiographic and clinical parameters. Radiographic correction was assessed using the lateral talo–first metatarsal angle, the talonavicular uncoverage percentage, and the first metatarsocuneiform height. The hindfoot valgus angle was measured. Patients were followed from a minimum of 6 months up to 4 years (mean 16.1 months). Postoperative radiographs demonstrated significant correction in all 3 radiographic criteria and the hindfoot valgus angle. We had no cases of nonunion, no wedge migration, and no wedges have been removed to date. The most common complication was calcaneocuboid joint pain (14.7%). Porous titanium wedges in LCL can achieve good radiographic and clinical correction of AAFD with a low rate of nonunion and other complications.
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| subjects | Adult Arthrodesis - methods Cohort Studies Female Flatfoot - diagnostic imaging Flatfoot - surgery Follow-Up Studies Foot Deformities, Acquired - diagnostic imaging Foot Deformities, Acquired - surgery Humans Male Middle Aged Orthopedic Procedures - methods Porosity Prostheses and Implants Radiography - methods Retrospective Studies Risk Assessment Titanium Treatment Outcome |
| title | Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity |
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