Effect of Peritalar Subluxation Correction for Progressive Collapsing Foot Deformity on Patient-Reported Outcomes

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCESAR NETTO, Cesar de
dc.contributor.authorMANSUR, Nacime Salomao Barbachan
dc.contributor.authorLALEVEE, Matthieu
dc.contributor.authorCARVALHO, Kepler Alencar Mendes de
dc.contributor.authorGODOY-SANTOS, Alexandre Leme
dc.contributor.authorKIM, Ki Chun
dc.contributor.authorLINTZ, Francois
dc.contributor.authorDIBBERN, Kevin
dc.date.accessioned2024-04-05T19:40:20Z
dc.date.available2024-04-05T19:40:20Z
dc.date.issued2023
dc.description.abstractBackground: Peritalar subluxation (PTS) is part of progressive collapsing foot deformity (PCFD). This study aimed to evaluate initial deformity correction and PTS optimization in PCFD patients with flexible hindfoot deformity undergoing hindfoot joint-sparing surgical procedures and its relationship with improvements in patient-reported outcome measures (PROMs) at latest follow-up. We hypothesized that significant deformity/PTS correction would be observed postoperatively, positively correlating with improved PROMs.Methods: A prospective comparative study was performed with 26 flexible PCFD patients undergoing hindfoot joint-sparing reconstructive procedures, mean age 47.1 years (range, 18-77). We assessed weightbearing computed tomography (WBCT) overall deformity (foot and ankle offset [FAO]) and PTS markers (distance and coverage maps) at 3 months, as well as PROMs at final follow-up. A multivariate regression model assessed the influence of initial deformity correction and PTS optimization in patient-reported outcomes.Results: Mean follow-up was 19.9 months (6-39), and the average number of procedures performed was 4.8 (2-8). FAO improved from 9.4% (8.4-10.9) to 1.9% (1.1-3.6) postoperatively (P < .0001). Mean coverage improved by 69.6% (P = .012), 12.1% (P = .0343) and 5.2% (P = .0074) in, respectively, the anterior, middle, and posterior facets, whereas the sinus tarsi coverage decreased by an average 57.1% (P < .0001) postoperatively. Improvements in patient-reported outcomes were noted for all scores assessed (P < .03). The multivariate regression analysis demonstrated that improvement in both FAO and PTS measurements significantly influenced the assessed PROMs.Conclusion: This study demonstrated significant improvements in the overall 3D deformity, PTS markers, and PROMs following hindfoot joint-sparing surgical treatment in patients with flexible PCFD. More importantly, initial 3D deformity correction and improvement in subtalar joint coverage and extraarticular impingement have been shown to influence PROMs significantly and positively. Addressing these variables should be considered as goals when treating PCFD.Level of Evidence: Level II, prospective cohort study.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.identifier.citationFOOT & ANKLE INTERNATIONAL, v.44, n.11, p.1128-1141, 2023
dc.identifier.doi10.1177/10711007231192479
dc.identifier.eissn1944-7876
dc.identifier.issn1071-1007
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59225
dc.language.isoeng
dc.publisherSAGE PUBLICATIONS INCeng
dc.relation.ispartofFoot & Ankle International
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SAGE PUBLICATIONS INCeng
dc.subjectflatfooteng
dc.subjectprogressive collapsing foot deformityeng
dc.subjectPCFDeng
dc.subjectweightbearing CTeng
dc.subjectdistance mappingeng
dc.subjectperitalar subluxationeng
dc.subjectjoint coverageeng
dc.subject.otherbeam ct scanseng
dc.subject.otherperiacetabular osteotomyeng
dc.subject.otheracetabular dysplasiaeng
dc.subject.othercomputed-tomographyeng
dc.subject.othersubtalar jointeng
dc.subject.otherflatfooteng
dc.subject.otherankleeng
dc.subject.otherhipeng
dc.subject.othertalocalcanealeng
dc.subject.otherarthroplastyeng
dc.subject.wosOrthopedicseng
dc.titleEffect of Peritalar Subluxation Correction for Progressive Collapsing Foot Deformity on Patient-Reported Outcomeseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryCoréia do Sul
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryFrança
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisofr
hcfmusp.affiliation.countryisokr
hcfmusp.author.externalCESAR NETTO, Cesar de:Univ Iowa UIOWA, Carver Coll Med, Dept Orthoped & Rehabil, Iowa City, IA USA; Duke Univ, Dept Orthoped Surg, 5601 Arringdon Pk Dr,Suite 300, Morrisville, NC 27560 USA
hcfmusp.author.externalMANSUR, Nacime Salomao Barbachan:Univ Iowa UIOWA, Carver Coll Med, Dept Orthoped & Rehabil, Iowa City, IA USA; Univ Fed Sao Paulo, Escola Paulista Med, Dept Orthoped & Traumatol, Sao Paulo, Brazil
hcfmusp.author.externalLALEVEE, Matthieu:Univ Iowa UIOWA, Carver Coll Med, Dept Orthoped & Rehabil, Iowa City, IA USA; Ctr Hosp Univ Rouen, Serv Orthopedie Traumatol, Serv Neurochirurg, Rouen, France
hcfmusp.author.externalCARVALHO, Kepler Alencar Mendes de:Univ Iowa UIOWA, Carver Coll Med, Dept Orthoped & Rehabil, Iowa City, IA USA
hcfmusp.author.externalKIM, Ki Chun:Univ Iowa UIOWA, Carver Coll Med, Dept Orthoped & Rehabil, Iowa City, IA USA; Seoul Med Ctr, Dept Orthopaed Surg, Seoul 100799, South Korea
hcfmusp.author.externalLINTZ, Francois:Clin Union, St Jean, France
hcfmusp.author.externalDIBBERN, Kevin:Univ Iowa UIOWA, Carver Coll Med, Dept Orthoped & Rehabil, Iowa City, IA USA; Marquette Univ, Milwaukee, WI USA
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcALEXANDRE LEME GODOY DOS SANTOS
hcfmusp.description.beginpage1128
hcfmusp.description.endpage1141
hcfmusp.description.issue11
hcfmusp.description.volume44
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1164044208
hcfmusp.origem.pubmed37698292
hcfmusp.origem.scopus2-s2.0-85170851887
hcfmusp.origem.wosWOS:001081786200001
hcfmusp.publisher.cityTHOUSAND OAKSeng
hcfmusp.publisher.countryUSAeng
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