To determine the clinical indications and efficacy of medial displacement osteotomy of the calcaneus in management of hindfoot valgus, we evaluated 18 feet (ten patients) prospectively. Average follow-up was 42 months; minimum follow-up was 24 months. The osteotomy was performed parallel to the subtalar joint through a lateral incision; the distal fragment was displaced > or = 50\% and transfixed with two parallel pins for approximately 4 weeks. Analysis of hindfoot stability, foot position, and extremity function yielded excellent (n = 17) or fair (n = 1) results. Varus overcorrection in the "fair" foot required a closing wedge osteotomy.
%0 Journal Article
%1 Koman1993a
%A Koman, L. A.
%A Mooney, J. F.
%A Goodman, A.
%D 1993
%J J Pediatr Orthop
%K Adolescent; Calcaneus; Cerebral Palsy; Child; Child, Preschool; Follow-Up Studies; Foot Deformities, Acquired; Humans; Osteotomy; Prospective Studies
%N 2
%P 180--183
%T Management of valgus hindfoot deformity in pediatric cerebral palsy patients by medial displacement osteotomy.
%V 13
%X To determine the clinical indications and efficacy of medial displacement osteotomy of the calcaneus in management of hindfoot valgus, we evaluated 18 feet (ten patients) prospectively. Average follow-up was 42 months; minimum follow-up was 24 months. The osteotomy was performed parallel to the subtalar joint through a lateral incision; the distal fragment was displaced > or = 50\% and transfixed with two parallel pins for approximately 4 weeks. Analysis of hindfoot stability, foot position, and extremity function yielded excellent (n = 17) or fair (n = 1) results. Varus overcorrection in the "fair" foot required a closing wedge osteotomy.
@article{Koman1993a,
abstract = {To determine the clinical indications and efficacy of medial displacement osteotomy of the calcaneus in management of hindfoot valgus, we evaluated 18 feet (ten patients) prospectively. Average follow-up was 42 months; minimum follow-up was 24 months. The osteotomy was performed parallel to the subtalar joint through a lateral incision; the distal fragment was displaced > or = 50\% and transfixed with two parallel pins for approximately 4 weeks. Analysis of hindfoot stability, foot position, and extremity function yielded excellent (n = 17) or fair (n = 1) results. Varus overcorrection in the "fair" foot required a closing wedge osteotomy.},
added-at = {2014-07-19T20:38:57.000+0200},
author = {Koman, L. A. and Mooney, J. F. and Goodman, A.},
biburl = {https://www.bibsonomy.org/bibtex/2049f82499b46ba8bd87a1faf3952de1b/ar0berts},
groups = {public},
interhash = {c7c7d2a8a94530749975da672a20f131},
intrahash = {049f82499b46ba8bd87a1faf3952de1b},
journal = {J Pediatr Orthop},
keywords = {Adolescent; Calcaneus; Cerebral Palsy; Child; Child, Preschool; Follow-Up Studies; Foot Deformities, Acquired; Humans; Osteotomy; Prospective Studies},
number = 2,
pages = {180--183},
pmid = {8459007},
timestamp = {2014-07-19T20:38:57.000+0200},
title = {Management of valgus hindfoot deformity in pediatric cerebral palsy patients by medial displacement osteotomy.},
username = {ar0berts},
volume = 13,
year = 1993
}