Clinical and functional outcomes of tarsal coalition resection to correct rigid flat foot

Authors

  • Rodrigo Guimarães Huyer Orthopedics and Traumatology Departament PUC-Campinas, Campinas, SP, Brazil https://orcid.org/0000-0003-3951-8408
  • Mário Sérgio Paulillo Cillo Orthopedics and Traumatology Departament PUC-Campinas, Campinas, SP, Brazil
  • Carlos Daniel Cândido Castro Filho Orthopedics and Traumatology Departament PUC-Campinas, Campinas, SP, Brazil
  • Hallan Douglas Bertelli Orthopedics and Traumatology Departament PUC-Campinas, Campinas, SP, Brazil
  • Marcelo Morelli Girondo Orthopedics and Traumatology Departament PUC-Campinas, Campinas, SP, Brazil https://orcid.org/0000-0001-7187-4774
  • Armando Bortolatto Neto Orthopedics and Traumatology Departament PUC-Campinas, Campinas, SP, Brazil

DOI:

https://doi.org/10.30795/jfootankle.2021.v15.1537

Keywords:

Tarsal coalition, Tarsal bones, Flatfoot, Subtalar joint

Abstract

Objective: This study used the AOFAS score to assess the clinical functional results of patients who underwent tarsal coalition resection. Methods: This was a retrospective case series of patients who underwent tarsal coalition resection to correct rigid flat foot. Clinical and functional assessment was performed with the AOFAS score before and 6 months after surgical treatment. Descriptive analysis was performed for 7 patients (11 operated feet) using measurements of position and dispersion (mean, standard deviation, minimum, median and maximum value) for continuous variables and frequency tables (absolute and relative) for categorical variables. Results: The mean patient age was 10 years, 7 months, and the majority (71.43%) were male. The most affected joint was the calcaneonavicular. The right side was affected in 54.55% of the cases. The most frequent type of coalition was osseous (81.82% of the cases). The mean pre- and postoperative AOFAS scores were 32.7 and 70.2 points, respectively, which was a significant increase. Conclusion: The increased scores after coalition resection was considered the main change between the two assessments. Thus, it can be concluded that in rigid flat feet without severe hind- or forefoot deformities for which conservative treatment failed, bar resection should be the surgical procedure of choice. Level of Evidence IV; Therapeutic Studies; Case Series.

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Published

2021-08-31

How to Cite

Guimarães Huyer, R., Cillo, M. S. P., Castro Filho, C. D. C. ., Bertelli, H. D. ., Girondo, M. M. ., & Bortolatto Neto, A. (2021). Clinical and functional outcomes of tarsal coalition resection to correct rigid flat foot . Journal of the Foot & Ankle, 15(2), 115–119. https://doi.org/10.30795/jfootankle.2021.v15.1537