Medial Cuneiform Opening Wedge Osteotomy for Correction of Flexible Flatfoot Deformity: Trabecular Titanium vs. Bone Allograft Wedges
Joint Authors
Romeo, Giovanni
Bianchi, Alberto
Cerbone, Vincenzo
Parrini, Matteo Maria
Malerba, Francesco
Martinelli, Nicolò
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-31
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Adult flatfoot is a common pathology characterized by multiplanar deformity involving hindfoot, midfoot, and forefoot.
Various surgical techniques have been described for the treatment but may not adequately correct the fixed forefoot varus component.
Residual forefoot supination can be addressed by a plantar flexing opening wedge osteotomy of the medial cuneiform, also known as a Cotton osteotomy.
Thus, the aims of this study were to compare clinical, radiological, and functional outcome after Cotton osteotomy, in patients treated with bone allograft or metallic implant.
Consequently, 36 patients treated with opening wedge osteotomy of the medial cuneiform for forefoot varus were studied retrospectively.
Patients were divided into two groups: the bone allograft group (HBG) (n=18) and the metallic implant group with BIOFOAM® Cotton Wedges (TTW) (n=18).
Radiographic assessment and clinical scores including American Orthopaedic Foot and Ankle Society score, Foot Function Index, and visual analogue scale for pain were collected before operation and the last follow-up.
The difference between baseline and follow-up for both groups was statistically significant for all the clinical scores and radiographic angles (p < 0.05).
Most participants (92%) were very satisfied after surgery.
Our results showed that Cotton osteotomy with a metallic implant provided both good clinical and radiographic outcomes comparable with bone allograft.
American Psychological Association (APA)
Romeo, Giovanni& Bianchi, Alberto& Cerbone, Vincenzo& Parrini, Matteo Maria& Malerba, Francesco& Martinelli, Nicolò. 2019. Medial Cuneiform Opening Wedge Osteotomy for Correction of Flexible Flatfoot Deformity: Trabecular Titanium vs. Bone Allograft Wedges. BioMed Research International،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1123380
Modern Language Association (MLA)
Romeo, Giovanni…[et al.]. Medial Cuneiform Opening Wedge Osteotomy for Correction of Flexible Flatfoot Deformity: Trabecular Titanium vs. Bone Allograft Wedges. BioMed Research International No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1123380
American Medical Association (AMA)
Romeo, Giovanni& Bianchi, Alberto& Cerbone, Vincenzo& Parrini, Matteo Maria& Malerba, Francesco& Martinelli, Nicolò. Medial Cuneiform Opening Wedge Osteotomy for Correction of Flexible Flatfoot Deformity: Trabecular Titanium vs. Bone Allograft Wedges. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1123380
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1123380