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Adult Acquired Flatfoot Deformity, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Adult Acquired Flatfoot Deformity, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Alan R. Catanzariti

(2014)

Additional Information

Abstract

Adult Acquired Flatfoot Deformity, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Table of Contents

Section Title Page Action Price
Front Cover Cover
Adult Acquired Flatfoot\rDeformity i
copyright\r ii
Clinics in Podiatric Medicine and Surgery iii
Contributors v
Contents vii
Clinics In Podiatric\rMedicine And Surgery\r x
Foreword\r xi
Preface\r xiii
The Flexible Adult Flatfoot 329
Key points 329
Introduction 329
Classification 329
Johnson and Strom 329
Anatomy 330
PTT 330
Plantar Calcaneonavicular Ligament 331
Deltoid Ligament Complex 332
TNJ 332
Pathomechanics 332
Summary 334
References 334
Nonoperative Management of Adult Flatfoot Deformities 337
Key points 337
Introduction 337
Specific Diagnosis 337
Pathomechanics and biomechanical assessment 338
Nonoperative management options 339
Footwear considerations for flatfeet 339
Common footwear modifications 340
Custom foot orthoses 341
Ankle foot orthoses for flatfoot deformities 343
Postoperative considerations 346
Summary 346
References 347
Flexible Adult Flatfoot 349
Key points 349
Introduction 349
PT tendon tenolysis and augmentation 349
Flexor digitorum longus transfer 350
Plantar calcaneonavicular ligament plication and reconstruction 353
Cobb tendon transfer 353
Summary 354
References 354
Is Advanced Imaging Necessary Before Surgical Repair 357
Key points 357
Plain radiographs 358
Ultrasound 359
MRI 360
Is advanced imaging necessary? 361
Summary 361
References 361
Procedure Selection for the Flexible Adult Acquired Flatfoot Deformity 363
Key points 363
Introduction 363
Pathoanatomy 365
Diagnosis of stage II AAFF 365
Clinical Presentation 365
Clinical Examination 366
Radiographic Examination 369
Authors’ approach to surgical management of flexible AAFF 369
Summary 376
References 376
Surgical Management of Stage 2 Adult Acquired Flatfoot 381
Key points 381
Introduction 381
Patient physical examination 382
Imaging 382
Conservative therapy 382
Stage II surgical technique 383
Postoperative course 386
Summary 387
References 388
Addressing Stage II Posterior Tibial Tendon Dysfunction 391
Key points 391
Introduction 391
Functional anatomy 392
Pathology 393
Classification 393
Operative management 395
Isolated Flexor Digitorum Longus Transfer to Navicular 396
Medial Calcaneal Slide Osteotomy and Posterior Tibial Tendon Augmentation 396
Lateral Column Lengthening and Posterior Tibial Tendon Augmentation 396
Double Calcaneal Osteotomies and Posterior Tibial Tendon Augmentation 396
Surgical approach and experience 397
Lack of Flexor Digitorum Longus Transfer 400
References 402
Forefoot Supinatus 405
Key points 405
Etiology 406
Clinical evaluation 406
Radiographic evaluation 407
Fixed versus reducible 408
Surgical options 409
Summary 412
References 412
Triple Arthrodesis for Adult Acquired Flatfoot 415
Key points 415
Surgical technique for triple arthrodesis 418
Subtalar and Calcaneocuboid Dissection 418
Preparation of Subtalar Joint and Calcaneocuboid Joint 421
Dissection and Preparation of Talonavicular Joint 422
Realignment/Positioning and Fixation 425
Hemostasis and Closure 429
Postoperative management 430
Complications 431
Summary 432
References 432
Double Arthrodesis Through a Medial Approach for End-Stage Adult-Acquired Flatfoot 435
Key points 435
Introduction 435
Technique 436
Ancillary procedures 437
Potential problems 440
Advantages 440
Summary 442
References 443
Surgical Decision Making for Stage IV Adult Acquired Flatfoot Disorder 445
Key points 445
Introduction 445
Anatomic considerations 446
Patient evaluation 446
Treatment of stage IV 447
Ankle Joint-Sparing Surgery 448
Ankle Joint Destructive Surgery 450
Ankle valgus after hindfoot arthrodesis 451
Summary 452
References 452
Index 455