| Titre : | Managing Complications of Foot and Ankle Surgery : Reconstruction of the Progressive Collapsing Foot Deformity (2022) |
| Auteurs : | Mitchel R. Obey ; Jeffrey E. Johnson ; Jonathon D. Backus |
| Type de document : | Article |
| Dans : | Foot and Ankle Clinics (Vol. 27, n° 2, June 2022) |
| Article en page(s) : | p. 303-325 |
| Note générale : | https://doi.org/10.1016/j.fcl.2021.11.018 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Cals vicieux ; Cheville ; Chirurgie générale ; Complications ; Osteotomie ; Pied ; Tendinopathie du tibial postérieur |
| Résumé : |
Progressive collapsing foot deformity is a complex spectrum of disease that can be clinically and technically challenging to evaluate and treat. Successful treatment begins with appropriate staging and picking the surgical techniques necessary to completely correct the deformity.
A thorough physical examination with muscle testing, standing and dynamic evaluation of deformity, and adequate imaging that includes weight-bearing radiographs of the ankle and foot or a weight-bearing CT is necessary to create an adequate preoperative plan. Careful intraoperative assessment of deformity correction and motion is necessary to adequately address the pathology and avoid complications such as overcorrection or undercorrection. Complications have been reported as high as 20% following surgical correction of flatfoot deformity. Most of these complications are secondary to local neurovascular injury, nonunion, malunion, or inadequate deformity correction. With recent advancements in surgical techniques, implants, and biological augmentation, the rate of complications has improved; however, poor outcomes still remain common in high-risk populations such as patients who smoke, have diabetes, have a connective tissue disorder, or have unrecognized osteoarthritis and poorly understood deformities. Additional assessment and risk stratification is necessary in these populations. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751521001601 |
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