We aimed to assess the effects of medial displacement calcaneal osteotomy (MDCO) through a minimal skin incision in terms of pain, function, and alignment in patients with unilateral adult acquired flatfoot. American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scale and Numeric Pain Rating Scale (NPRS) were assessed as outcomes at the baseline (T0), at 6 months (T1), and at 1 year (T2) from surgery. We analyzed data of 20 patients (7 male and 13 female), mean aged 46.6±5.34 years, showed significant differences after 6 months in terms of AOFAS total score (44.30±7.39 vs 96.50±4.89; p=0.0001), AOFAS subitems (p<0.001), and pain (NPRS: 7.95±1.36 vs 1.05±1.05; p=0.0001). At 1 year after surgery (T2) all outcome measures still significantly differ from baseline (p<001). Therefore, percutaneous MDCO through a minimal skin incision seemed to be safe and effective in the middle and long-term in reducing pain and improving function and alignment in patients with unilateral adult acquired flatfoot.

Medial displacement calcaneal osteotomy for unilateral adult acquired flatfoot: effects of minimally invasive surgery on pain, alignment, functioning, and quality of life

de Sire, Alessandro;
2020-01-01

Abstract

We aimed to assess the effects of medial displacement calcaneal osteotomy (MDCO) through a minimal skin incision in terms of pain, function, and alignment in patients with unilateral adult acquired flatfoot. American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scale and Numeric Pain Rating Scale (NPRS) were assessed as outcomes at the baseline (T0), at 6 months (T1), and at 1 year (T2) from surgery. We analyzed data of 20 patients (7 male and 13 female), mean aged 46.6±5.34 years, showed significant differences after 6 months in terms of AOFAS total score (44.30±7.39 vs 96.50±4.89; p=0.0001), AOFAS subitems (p<0.001), and pain (NPRS: 7.95±1.36 vs 1.05±1.05; p=0.0001). At 1 year after surgery (T2) all outcome measures still significantly differ from baseline (p<001). Therefore, percutaneous MDCO through a minimal skin incision seemed to be safe and effective in the middle and long-term in reducing pain and improving function and alignment in patients with unilateral adult acquired flatfoot.
2020
Hindfoot valgus
Flatfoot
Foot Deformity
Calcaneal osteotomy
AOFAS
Pain Management
Quality of life
Rehabilitation.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.12317/66940
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