Adult acquired flexible flatfoot, treated by calcaneo-cuboid distraction arthrodesis, posterior tibial tendon augmentation, and percutaneous Achilles tendon lengthening: A prospective outcome study of 20 patients

Figures & data

Overall results, CRI, FFI scores and radiographic results preoperatively and at follow-up of calcaneocuboid distraction arthrodesis

A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	p	Q	R	S	T	U
1	M	61	L	14	F	+	0	+	–	58	69	27	19	10	0	12	2	2	2.8	3
2	F	65	L	13	E	+	1	+	–	45	76	64	49	30	10	30	4	1	3	3
3	F	54	L	27	G	+	0	–	+	24	88	68	13	18	10	34	4	1	2.5	3
4	F	66	R	17	E	+	0	–	+	55	90	48	4.7	14	4	14	4	2.5	3.5	5
5	M	41	L	35	E	+	0	+	+	54	91	36	0	12	2	8	2	1.5	2.5	3
6	M	47	L	22	G	+	1	+	+	37	59	70	30	12	4	10	2	2.5	3.2	18
7	F	48	L	31	E	+	0	+	+	59	84	34	25	20	8	6	0	2.5	3.5	3
8	F	66	R	30	G	+	2	+	–	23	75	72	25	26	4	16	2	1.5	3.2	3
9	F	55	L	17	F	+	2	+	–	61	61	59	50	14	2	20	4	2	3.2	3
10	F	61	L	23	E	+	1	+	+	35	80	35	15	8	0	10	2	2	2.5	3
11	F	50	R	24	E	+	0	+	+	47	80	53	21	10	2	20	8	1.5	2.5	4
12	F	60	L	26	E	+	1	–	+	50	87	33	7.3	8	2	8	0	2	3	3
13	M	66	L	18	G	+	1	+	–	51	85	42	24	10	4	24	14	1.5	3.5	14
14	F	65	L	32	F	+	1	+	–	59	74	47	12	14	8	6	10	2.5	2.5	3
15	F	59	L	27	P	–	3	+	–	25	44	43	42	12	0	12	8	2	3	3
16	F	30	R	36	E	+	1	–	+	58	96	42	37	4	0	10	2	3	3.5	3
17	F	43	L	39	G	+	0	–	+	53	100	55	3.1	28	6	28	8	2	3	3
18	F	59	R	18	F	+	1	+	+	34	70	58	32	18	6	20	6	2	3	3
19	F	36	L	21	E	+	0	–	+	53	95	34	0	8	2	2	0	2	2.5	3
20	F	62	R	35	E	+	1	–	+	40	80	64	33	8	4	16	0	1	2.5	3
Mean		54.8		25.3						46.1	79.2	49.1	22.1	14.2	3.9	15.3	4.1	1.9	3.0	4.5
SD		10.2		7.8						12.5	13.8	14	15.4	7.1	3.2	8.7	3.8	0.6	0.4	4.0
95% CL		±4.5		±3.4						±5.5	±6.1	±6.1	±6.8	±3.1	±1.4	±3.8	±1.7	±0.2	±0.2	±1.8

A Case

B Sex

C Age

D Side

A Case

E Follow-up in months

• E excellent

• F fair

• G good

• P poor

G Reoperation

H Pain

• 0 none

• 1 mild

• 2 moderate

• 3 severe

I Inlay

J Normal shoe

K Clinical Rating Index score, preoperative

L Clinical Rating Index score at follow-up

M Foot Function Index score, preoperative

N Foot Function Index score at follow-up

O Lateral angle talus–MT1, preoperative (°)

P Lateral angle talus–MT1 at follow-up (°)

Q AP angle talus–MT1, preoperative (°)

R AP angle talus–MT1 at follow-up (°)

S Navicular–ground distance in cm, preoperative

T Navicular–ground distance in cm at follow-up

U Consolidation at months

Figure 1. Patient with an acquired flatfoot before calcaneo-cuboid distraction arthrodesis.

Figure 2. The same patient after calcaneo-cuboid distraction arthrodesis.