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KMID : 0896720030070010030
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Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 1 p.30 ~ p.35
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Operative Treatment of Symptomatic Flexible Flatfeet in Children
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Park Yong-Wook
Jeong Un-Seob
Yun TK
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Abstract
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Purpose: The purpose of this study was to evaluate the result of open wedge osteotomy at the anterior calcaneus with iliac bone graft (Evans procedure) for symptomatic flexible flatfeet in children.
Material and Methods : A retrospective study was conducted between October 1995 and September 2002. Six cases in 3 patients who had symptomatic flexible flatfeet was included. Follow-up averaged 39.5 months. We evaluated the patients’ satisfaction by Mann and Reynolds scorring and compared the radiographic results between preoperative and final radiography.
Results: The satisfaction outcomes at the last follow-up were excellent in five and good in one. The mean lateral talo-first metatarsal angle was improved from -20° to -3°. The mean calcaneal inclination angle was improved from 8.5° to 20.8°. The talo-navicular coverage angle was improved from 47.5° to 7.5°. In one case, we found the subluxation of calcaneocuboidal joint in postoperative radiography.
Conclusions:Open wedge osteotomy at the anterior calcaneus for symptomatic flexible flatfeet in children was considered as one of the effective treatment methods.
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KEYWORD
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Symptomatic flexible flatfeet in children, Calcaneal open wedge osteotomy with iliac bone graft
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