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.
Level of Clinical Evidence
Keywords
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Article Info
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DOI: https://doi.org/10.1053/j.jfas.2020.11.003
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Published by Elsevier Inc. on behalf of the American College of Foot and Ankle Surgeons.
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