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Calcaneal-Cuboid-Cuneiform Osteotomy in the Treatment of Flexible Flatfoot in Children About 21 Patients
Corresponding Author(s) : Amel Djerbal
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 12 No. 2 (2024): 2024 Volume -12 - Issue 2
Abstract
New therapeutic approach for idiopathic reducible severe valgus flatfoot, symptomatic of children and adolescents, which respects the growth and joint mobility of the foot. Extra-articular corrective osteotomies associated with gestures on the soft parts are the treatment of choice to restore the morphology and biomechanics of the foot and avoid early joint deterioration. The calcaneal-cuboid-cuneiform osteotomy, extra-articular osteotomy is the treatment current ideal of idiopathic reducible severe valgus flatfoot of the child and the teenager. The deformation of the foot is corrected while maintaining mobility. Conceptualized by Rathjen and Mubarak (JPO 1998). This technique is described under the name 3C osteotomy by the Anglo-Saxons: a closure osteotomy (subtraction based medial) associated with a medial translation of the Calcaneus, a closure osteotomy plantar or pronation of the medial Cuneiform and an osteotomy of opening of the Cuboid to restore the alignment of the forefoot and the midfoot. For the sake of refinement, efficiency of surgical procedures and improvement of the final result both aesthetically and functionally, we propose a strategy less aggressive surgery on immature bones that are still growing.
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- Koutsogiannis E. Treatment of mobile flat foot by displacement osteotomy of the calcaneus. The Journal of Bone & Joint Surgery British Volume. 1971 Feb 1;53(1):96-100. https://boneandjoint.org.uk/article/10.1302/0301-620X.53B1.96
- Rathjen KE, Mubarak SJ. Calcaneal-cuboid-cuneiform osteotomy for the correction of valgus foot deformities in children. Journal of Pediatric Orthopaedics. 1998 Nov 1;18(6):775-82. https://journals.lww.com/pedorthopaedics/fulltext/1998/11000/calcaneal_cuboid_cuneiform_osteotomy_for_the.15.aspx
- Thomas JL, Christensen JC, Mendicino RW, Schuberth JM, Weil LS, Zlotoff HJ, Roukis TS, Vanore JV. ACFAS Scoring Scale user guide. The journal of Foot and Ankle Surgery. 2005 Sep 1;44(5):316-35. https://www.jfas.org/article/S1067-2516(05)00470-9/abstract
- Gould N, Moreland M, Alvarez R, Trevino S, Fenwick J. Development of the child's arch. Foot & ankle. 1989 Apr;9(5):241-5. https://journals.sagepub.com/doi/abs/10.1177/107110078900900506
- Dr Wenger. Corrective shoes and inserts as treatment for flexible flatfoot in infants and children. J Bone Joint Surg Am. 1989;71:800-10. https://cir.nii.ac.jp/crid/1573387450270672384
- Wicart P, Toullec E. Pied plat valgus idiopathique. Cahiers d'enseignement de la SOFCOT. 2010:157-73. https://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23741592
- Mosca VS. Flexible flatfoot in children and adolescents. Journal of children's orthopaedics. 2010 Apr;4(2):107-21. https://journals.sagepub.com/doi/abs/10.1007/s11832-010-0239-9
- Mosca VS. Flexible flatfoot and skewfoot. Instructional course lectures. 1996;45:347-54. https://pubmed.ncbi.nlm.nih.gov/8727755/
- Moraleda L, Salcedo M, Bastrom TP, Wenger DR, Albiñana J, Mubarak SJ. Comparison of the calcaneo-cuboid-cuneiform osteotomies and the calcaneal lengthening osteotomy in the surgical treatment of symptomatic flexible flatfoot. Journal of Pediatric Orthopaedics. 2012 Dec 1;32(8):821-9.
- Adelaar RS, Donnelly EA, Meunier PA, Stelling FH, Goldner JL, Colvard DF. A long term study of triple arthrodesis in children. Orthopedic Clinics of North America. 1976 Oct 1;7(4):895-908. https://www.sciencedirect.com/science/article/pii/S0030589820322379
- Golano P, Fariñas O, Sáenz I. The anatomy of the navicular and periarticular structures. Foot and ankle clinics. 2004 Mar 1;9(1):1-23. https://www.foot.theclinics.com/article/S1083-7515(03)00155-4/abstract
- Verheyden F, Vanlommel E, Van Der Bauwhede J, Fabry G, Molenaers G. The sinus tarsi spacer in the operative treatment of flexible flat feet. Acta orthopaedica belgica. 1997 Dec 1;63(4):305-9. https://europepmc.org/article/med/9479785
- Gray EG, Basmajian JV. Electromyography and cinematography of leg and foot (“normal” and flat) during walking. The anatomical record. 1968 May;161(1):1-5. https://onlinelibrary.wiley.com/doi/abs/10.1002/ar.1091610101
- Grice DS. An extra-articular arthrodesis of the subastragalar joint for correction of palalytic flat feet in children. J Bone Joint Surg. 1952;34:927-40. https://cir.nii.ac.jp/crid/1570009749917379328
- Furdon SA, Donlon CR. Examination of the newborn foot: positional and structural abnormalities. Advances in Neonatal Care. 2002 Oct 1;2(5):248-58.
- RI H, Beath T. Hypermobile flat-foot with short tendo achillis. The Journal of Bone and Joint surgery. American Volume. 1948 Jan 1;30(1):116-40. https://europepmc.org/article/med/18921631
- Harris RI, BeathT. Army foot survey, vol 1. National Research Council of Canada, Ottawa, 1947; pp 1-268.
- Moraleda L, Mubarak SJ. Flexible flatfoot: differences in the relative alignment of each segment of the foot between symptomatic and asymptomatic patients. Journal of Pediatric Orthopaedics. 2011 Jun 1;31(4):421-8.
- Mosca VS. Calcaneal lengthening for valgus deformity of the hindfoot. Results in children who had severe, symptomatic flatfoot and skewfoot. JBJS. 1995 Apr 1;77(4):500-12.
References
Koutsogiannis E. Treatment of mobile flat foot by displacement osteotomy of the calcaneus. The Journal of Bone & Joint Surgery British Volume. 1971 Feb 1;53(1):96-100. https://boneandjoint.org.uk/article/10.1302/0301-620X.53B1.96
Rathjen KE, Mubarak SJ. Calcaneal-cuboid-cuneiform osteotomy for the correction of valgus foot deformities in children. Journal of Pediatric Orthopaedics. 1998 Nov 1;18(6):775-82. https://journals.lww.com/pedorthopaedics/fulltext/1998/11000/calcaneal_cuboid_cuneiform_osteotomy_for_the.15.aspx
Thomas JL, Christensen JC, Mendicino RW, Schuberth JM, Weil LS, Zlotoff HJ, Roukis TS, Vanore JV. ACFAS Scoring Scale user guide. The journal of Foot and Ankle Surgery. 2005 Sep 1;44(5):316-35. https://www.jfas.org/article/S1067-2516(05)00470-9/abstract
Gould N, Moreland M, Alvarez R, Trevino S, Fenwick J. Development of the child's arch. Foot & ankle. 1989 Apr;9(5):241-5. https://journals.sagepub.com/doi/abs/10.1177/107110078900900506
Dr Wenger. Corrective shoes and inserts as treatment for flexible flatfoot in infants and children. J Bone Joint Surg Am. 1989;71:800-10. https://cir.nii.ac.jp/crid/1573387450270672384
Wicart P, Toullec E. Pied plat valgus idiopathique. Cahiers d'enseignement de la SOFCOT. 2010:157-73. https://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23741592
Mosca VS. Flexible flatfoot in children and adolescents. Journal of children's orthopaedics. 2010 Apr;4(2):107-21. https://journals.sagepub.com/doi/abs/10.1007/s11832-010-0239-9
Mosca VS. Flexible flatfoot and skewfoot. Instructional course lectures. 1996;45:347-54. https://pubmed.ncbi.nlm.nih.gov/8727755/
Moraleda L, Salcedo M, Bastrom TP, Wenger DR, Albiñana J, Mubarak SJ. Comparison of the calcaneo-cuboid-cuneiform osteotomies and the calcaneal lengthening osteotomy in the surgical treatment of symptomatic flexible flatfoot. Journal of Pediatric Orthopaedics. 2012 Dec 1;32(8):821-9.
Adelaar RS, Donnelly EA, Meunier PA, Stelling FH, Goldner JL, Colvard DF. A long term study of triple arthrodesis in children. Orthopedic Clinics of North America. 1976 Oct 1;7(4):895-908. https://www.sciencedirect.com/science/article/pii/S0030589820322379
Golano P, Fariñas O, Sáenz I. The anatomy of the navicular and periarticular structures. Foot and ankle clinics. 2004 Mar 1;9(1):1-23. https://www.foot.theclinics.com/article/S1083-7515(03)00155-4/abstract
Verheyden F, Vanlommel E, Van Der Bauwhede J, Fabry G, Molenaers G. The sinus tarsi spacer in the operative treatment of flexible flat feet. Acta orthopaedica belgica. 1997 Dec 1;63(4):305-9. https://europepmc.org/article/med/9479785
Gray EG, Basmajian JV. Electromyography and cinematography of leg and foot (“normal” and flat) during walking. The anatomical record. 1968 May;161(1):1-5. https://onlinelibrary.wiley.com/doi/abs/10.1002/ar.1091610101
Grice DS. An extra-articular arthrodesis of the subastragalar joint for correction of palalytic flat feet in children. J Bone Joint Surg. 1952;34:927-40. https://cir.nii.ac.jp/crid/1570009749917379328
Furdon SA, Donlon CR. Examination of the newborn foot: positional and structural abnormalities. Advances in Neonatal Care. 2002 Oct 1;2(5):248-58.
RI H, Beath T. Hypermobile flat-foot with short tendo achillis. The Journal of Bone and Joint surgery. American Volume. 1948 Jan 1;30(1):116-40. https://europepmc.org/article/med/18921631
Harris RI, BeathT. Army foot survey, vol 1. National Research Council of Canada, Ottawa, 1947; pp 1-268.
Moraleda L, Mubarak SJ. Flexible flatfoot: differences in the relative alignment of each segment of the foot between symptomatic and asymptomatic patients. Journal of Pediatric Orthopaedics. 2011 Jun 1;31(4):421-8.
Mosca VS. Calcaneal lengthening for valgus deformity of the hindfoot. Results in children who had severe, symptomatic flatfoot and skewfoot. JBJS. 1995 Apr 1;77(4):500-12.