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

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Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Dimensions
Título da Revista
ISSN da Revista
Título do Volume
Editora
SAGE PUBLICATIONS INC
Autores
CESAR NETTO, Cesar de
MANSUR, Nacime Salomao Barbachan
LALEVEE, Matthieu
CARVALHO, Kepler Alencar Mendes de
KIM, Ki Chun
LINTZ, Francois
DIBBERN, Kevin
Citação
FOOT & ANKLE INTERNATIONAL, v.44, n.11, p.1128-1141, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: 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.
Palavras-chave
flatfoot, progressive collapsing foot deformity, PCFD, weightbearing CT, distance mapping, peritalar subluxation, joint coverage
URI
https://observatorio.fm.usp.br/handle/OPI/59225
Referências
  1. Ananthakrisnan D, 1999, J BONE JOINT SURG AM, V81A, P1147, DOI 10.2106/00004623-199908000-00010
  2. Barg A, 2018, FOOT ANKLE INT, V39, P376, DOI 10.1177/1071100717740330
  3. Bernasconi A, 2022, FOOT ANKLE SURG, V28, P775, DOI 10.1016/j.fas.2021.10.004
  4. Brusalis CM, 2020, J BONE JOINT SURG AM, V102, P73, DOI 10.2106/JBJS.20.00087
  5. Burssens A, 2019, INT J COMPUT ASS RAD, V14, P1439, DOI 10.1007/s11548-019-01949-7
  6. Christidis P, 2023, ARCH ORTHOP TRAUM SU, V143, P5549, DOI 10.1007/s00402-023-04867-1
  7. Conti MS, 2021, FOOT ANKLE INT, V42, P268, DOI 10.1177/1071100720963077
  8. Cooperman DR, 2019, J PEDIATR ORTHOPED, V39, pS20, DOI 10.1097/BPO.0000000000001360
  9. Day J, 2020, FOOT ANKLE INT, V41, P930, DOI 10.1177/1071100720925423
  10. Day MA, 2020, FOOT ANKLE INT, V41, P1106, DOI 10.1177/1071100720933891
  11. Netto CD, 2020, FOOT ANKLE INT, V41, P1269, DOI 10.1177/1071100720950715
  12. de Cesar Netto Cesar, 2017, J Bone Joint Surg Am, V99, pe98, DOI 10.2106/JBJS.16.01366
  13. Deland JT, 2005, FOOT ANKLE INT, V26, P427, DOI 10.1177/107110070502600601
  14. Dibbern KN, 2021, FOOT ANKLE INT, V42, P757, DOI 10.1177/1071100720983227
  15. Ellis SJ, 2010, FOOT ANKLE INT, V31, P361, DOI 10.3113/FAI.2010.0361
  16. Ferri M, 2008, FOOT ANKLE INT, V29, P199, DOI 10.3113/FAI.2008.0199
  17. Godoy-Santos AL, 2018, ACTA ORTOP BRAS, V26, P135, DOI 10.1590/1413-785220182602188482
  18. Holleyman R, 2020, J BONE JOINT SURG AM, V102, P1312, DOI 10.2106/JBJS.18.01387
  19. Kaneuji A, 2015, J BONE JOINT SURG AM, V97A, P726, DOI 10.2106/JBJS.N.00667
  20. Kim J, 2022, FOOT ANKLE INT, V43, P1219, DOI 10.1177/10711007221099010
  21. Krähenbühl N, 2022, FOOT ANKLE INT, V43, P363, DOI 10.1177/10711007211049754
  22. Kvarda P, 2022, FOOT ANKLE INT, V43, P91, DOI 10.1177/10711007211034522
  23. Lalevée M, 2023, ARCH ORTHOP TRAUM SU, V143, P161, DOI 10.1007/s00402-021-04015-7
  24. Ledoux William R, 2004, Foot Ankle Clin, V9, P663, DOI 10.1016/j.fcl.2004.06.005
  25. Lee J, 2022, CLIN J SPORT MED, V32, pE116, DOI 10.1097/JSM.0000000000000907
  26. Lintz F, 2021, FOOT ANKLE SURG, V27, P412, DOI 10.1016/j.fas.2020.05.007
  27. Lintz F, 2018, EFORT OPEN REV, V3, P278, DOI 10.1302/2058-5241.3.170066
  28. Lintz F, 2017, FOOT ANKLE INT, V38, P684, DOI 10.1177/1071100717690806
  29. Malicky ES, 2002, J BONE JOINT SURG AM, V84A, P2005, DOI 10.2106/00004623-200211000-00015
  30. Myerson MS, 2020, FOOT ANKLE INT, V41, P1271, DOI 10.1177/1071100720950722
  31. Netto CD, 2021, FOOT ANKLE SURG, V27, P884, DOI 10.1016/j.fas.2020.12.003
  32. Netto CD, 2020, FOOT ANKLE INT, V41, P1190, DOI 10.1177/1071100720936603
  33. Netto CD, 2020, FOOT ANKLE INT, V41, P839, DOI 10.1177/1071100720920274
  34. Netto CD, 2019, J BONE JOINT SURG AM, V101, P1838, DOI 10.2106/JBJS.19.00073
  35. Peiffer M, 2020, FOOT ANKLE SURG, V26, P78, DOI 10.1016/j.fas.2018.11.015
  36. RAMSEY PL, 1976, J BONE JOINT SURG AM, V58, P356, DOI 10.2106/00004623-197658030-00010
  37. Richter M, 2018, FOOT ANKLE SURG, V24, P185, DOI 10.1016/j.fas.2018.05.004
  38. Sangeorzan A, 2018, FOOT ANKLE CLIN, V23, P341, DOI 10.1016/j.fcl.2018.04.002
  39. Scott W, 2014, CLIN J PAIN, V30, P183, DOI 10.1097/AJP.0b013e31828eee6c
  40. Siegler S, 2018, J BIOMECH, V76, P204, DOI 10.1016/j.jbiomech.2018.05.026
  41. Sutton RM, 2019, FOOT ANKLE INT, V40, P687, DOI 10.1177/1071100719834539
  42. Lôbo CFT, 2021, ACTA ORTOP BRAS, V29, P105, DOI 10.1590/1413-785220212902236939

Coleções
Artigos e Materiais de Revistas Científicas - HC/IOT