Lapicotton technique in the treatment of progressive collapsing foot deformity

  • Cesar de Cesar Netto University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA
  • Samuel Ahrenholz University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA
  • Caleb Iehl University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA
  • Victoria Vivtcharenko University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA
  • Eli Schmidt University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA
  • Hee Young Lee University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA https://orcid.org/0000-0003-4179-9501
  • Kevin Dibbern University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA
  • Nacime Salomão Barbachan Mansur University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA https://orcid.org/0000-0003-1067-727X
Keywords: Flatfoot, Foot deformities, Acquired/diagnostic imaging, Arthrodesis/methods, Osteotomy/methods, Fracture fixation, intramedullary/ instrumentation, Joint instability/surgery

Abstract

We present a technical surgical description of a 36-year-old female diagnosed with Progressive Collapsing Foot Deformity (PCFD) treated with a medial displacement calcaneus osteotomy, a lateral column lengthening, and a modified Lapidus fusion. In order to increase the plantar flexion power of this arthrodesis and minimize the loss in ray length with joint preparation, a bone block structured graft was used. Fixation was performed using a post implant in the medial cuneiform with crossing screws though the surfaces and the graft. Forefoot varus was properly corrected intraoperatively by using the described surgical technique. Satisfactory functional short-term results and an excellent alignment was accomplished. Level of Evidence V; Therapeutic Studies; Expert Opinion.

Published
21-12-2020
How to Cite
de Cesar Netto, C., Ahrenholz, S., Iehl, C., Vivtcharenko, V., Schmidt, E., Lee, H., Dibbern, K., & Mansur, N. (2020). Lapicotton technique in the treatment of progressive collapsing foot deformity. Journal of the Foot & Ankle, 14(3), 301-308. https://doi.org/10.30795/jfootankle.2020.v14.1215