FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2890216359> ?p ?o ?g. }

• W2890216359 endingPage "2473011418S0004" @default.
• W2890216359 startingPage "2473011418S0004" @default.
• W2890216359 abstract "Category: Ankle Introduction/Purpose: Medial displacement calcaneus tuberosity osteotomy and anterior process lengthening calcaneus osteotomy are traditional single-plane osteotomy techniques used in adult acquired flatfoot deformity reconstruction. More recently, three plane step-cut osteotomies were described for each of these and offer improved rotational stability via the horizontal limb. However, a major technical challenge is achieving a sufficiently long horizontal limb to correct deformity through lengthening without losing bony apposition. Combining the anterior process and tuberosity step-cuts using an elongated horizontal limb (“Z-cut”, Figure 1) alleviates this technical challenge, creates a very large surface area for bony healing, and utilizes a single incision. We hypothesized that the Z-cut osteotomy achieves clinical and radiographic flatfoot deformity correction with a high union rate. Methods: This was an IRB-approved retrospective study of 17 patients who underwent Z-cut osteotomy for treatment of moderate to severe symptomatic adult acquired flatfoot deformity, Stage IIB. Mean follow up was 8.3 months. Radiographic correction was assessed via weight bearing radiographs taken pre-operatively and at a mean of 26 +/- 2 weeks post operatively. Measurements included Meary’s angle (talo-1st metatarsal angle), talonavicular joint (TN) uncoverage percentage, TN incongruency angle, medial cuneiform to fifth metatarsal height, and calcaneal pitch. Union rates, calcaneocuboid joint arthritic changes and clinical outcomes via Foot Function Index (FFI) score were assessed preoperatively and at a mean of 29 months following surgery. Paired t-test was used to compare both clinical and radiographic outcomes with statistical significance set at p<0.05. Results: Nine patients returned an FFI questionnaire with a mean improvement of 52.1 to 10.3 (p = .002). Calcaneal pitch improved from 13.2 to 15.3 (p = .004), medial cuneiform/5th metatarsal distance improved from 13.3 to 18.5 (p = .004), TN coverage angle improved from 22.4 to 9.7 (p < .001), TN uncoverage % improved from 34.3 to 21.2 (p <.001), TN incongruency angle improved from 39 to 20.1 (p < .001). Deformity correction was well maintained in 14 of 17 patients at final follow up. Union rate of the osteotomy was 100%. Three patients had symptomatic hardware initially, one patient required removal of hardware. One patient developed a superficial infection that cleared. Another patient developed peroneal tendonitis, which resolved with corticosteroid injection. Conclusion: The Z-cut osteotomy is a novel, technically simplified, single incision, single osteotomy alternative to previously described double calcaneus osteotomy techniques for reconstructing flexible moderate to severe adult acquired flatfoot deformity which offers comparable short term clinical and radiographic outcomes with acceptably low complications." @default.
• W2890216359 created "2018-09-27" @default.
• W2890216359 creator A5013780307 @default.
• W2890216359 creator A5022278180 @default.
• W2890216359 creator A5051857856 @default.
• W2890216359 creator A5070961115 @default.
• W2890216359 creator A5080265485 @default.
• W2890216359 date "2018-07-01" @default.
• W2890216359 modified "2023-09-26" @default.
• W2890216359 title "Z-cut Osteotomy for Correction of Adult Acquired Pes Planovalgus Deformity" @default.
• W2890216359 doi "https://doi.org/10.1177/2473011418s00045" @default.
• W2890216359 hasPublicationYear "2018" @default.
• W2890216359 type Work @default.
• W2890216359 sameAs 2890216359 @default.
• W2890216359 citedByCount "0" @default.
• W2890216359 crossrefType "journal-article" @default.
• W2890216359 hasAuthorship W2890216359A5013780307 @default.
• W2890216359 hasAuthorship W2890216359A5022278180 @default.
• W2890216359 hasAuthorship W2890216359A5051857856 @default.
• W2890216359 hasAuthorship W2890216359A5070961115 @default.
• W2890216359 hasAuthorship W2890216359A5080265485 @default.
• W2890216359 hasBestOaLocation W28902163591 @default.
• W2890216359 hasConcept C105702510 @default.
• W2890216359 hasConcept C13483470 @default.
• W2890216359 hasConcept C141071460 @default.
• W2890216359 hasConcept C2776389721 @default.
• W2890216359 hasConcept C2776889875 @default.
• W2890216359 hasConcept C2778640784 @default.
• W2890216359 hasConcept C2778879847 @default.
• W2890216359 hasConcept C2779982284 @default.
• W2890216359 hasConcept C2781017183 @default.
• W2890216359 hasConcept C29694066 @default.
• W2890216359 hasConcept C36454342 @default.
• W2890216359 hasConcept C71924100 @default.
• W2890216359 hasConceptScore W2890216359C105702510 @default.
• W2890216359 hasConceptScore W2890216359C13483470 @default.
• W2890216359 hasConceptScore W2890216359C141071460 @default.
• W2890216359 hasConceptScore W2890216359C2776389721 @default.
• W2890216359 hasConceptScore W2890216359C2776889875 @default.
• W2890216359 hasConceptScore W2890216359C2778640784 @default.
• W2890216359 hasConceptScore W2890216359C2778879847 @default.
• W2890216359 hasConceptScore W2890216359C2779982284 @default.
• W2890216359 hasConceptScore W2890216359C2781017183 @default.
• W2890216359 hasConceptScore W2890216359C29694066 @default.
• W2890216359 hasConceptScore W2890216359C36454342 @default.
• W2890216359 hasConceptScore W2890216359C71924100 @default.
• W2890216359 hasIssue "3" @default.
• W2890216359 hasLocation W28902163591 @default.
• W2890216359 hasOpenAccess W2890216359 @default.
• W2890216359 hasPrimaryLocation W28902163591 @default.
• W2890216359 hasRelatedWork W2316938513 @default.
• W2890216359 hasRelatedWork W2597258672 @default.
• W2890216359 hasRelatedWork W2892260929 @default.
• W2890216359 hasRelatedWork W2898124709 @default.
• W2890216359 hasRelatedWork W2982382180 @default.
• W2890216359 hasRelatedWork W3213735592 @default.
• W2890216359 hasRelatedWork W4206966835 @default.
• W2890216359 hasRelatedWork W4207001001 @default.
• W2890216359 hasRelatedWork W4225883237 @default.
• W2890216359 hasRelatedWork W3101538301 @default.
• W2890216359 hasVolume "3" @default.
• W2890216359 isParatext "false" @default.
• W2890216359 isRetracted "false" @default.
• W2890216359 magId "2890216359" @default.
• W2890216359 workType "article" @default.