Tratamento do pé plano valgo flexível
Osteotomia do calcaneo de Pridie-Koutsogiannis associada à técnica de Lowman-Miller modificada
Keywords:
Flat Foot, Calcaneus, Osteotomy, ArthrodesisAbstract
Authors present a modified technique for the surgical treatment of severe flexible valgus flat foot which consists of the association of two procedures. The Pridie-Koutsogiannis procedure in which a varus calcaneal osteotomy is performed and the Lowman- Miller procedure which associares talo-navicular arthrodesis with distal advancement of the pos terior tibial tendon osteocartilaginous flap underneath anterior tibial tendon. Fixation of the calcaneal osteotomy and of the midfoot arthrodesis are performed by means of 3.5mm canulated screw and the distal fixation of the posterior tibial tendon is performed by means of an 2.7mm anchor.
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References
AraújoALSLC, Lima CLA. Pé plano valgo e navicular acessório. ln: Clínica Ortopédica. 2003; 4/3: 541-50.
Duncan JW, Lovell WW. Hoke tripie arthrodesis. J Bane Joint Surg (Arn). 1978; 60:795.
Dwyer FC. Trearment of relapsed club foor by insertion of a wedge into the calcaneus. J Bane Joint Surg (Br). 1963; 45:67.
Evans D. Calcaneo-valgus deformity. J Bone Joint Surg (Br). 1975; 57:270.
Grice DS.An extra-articular arthrodesis of rhe subastragalar joinr for correcrion of paralyric fiar feer in children. J Bane Joinr Surg. 1952; 34-A: 927.
HokeM.An operation for rhe correcrion of extremely relaxed fiar feer. J Bane Joinr Surg. 1931; 13:773.
Koursogiannis E. Trearmenr of mobile fiar foor by displacement osreocomy of che calcaneus. J Bane Joint Surg (Br). 1971;53:96.
Lowman CL.An operarive merhod for correcrion of certain forms of fiar feer. JAMA. 1923; 81:1500.
Miller OL.A plastic fiar foot operation. J Bane Joint Surg. 1927; 9:84.
Mosca VS. Calcaneal lengrhening for valgus deformity of rhe hindfoor: Resulrs in children who had severe, sympromacic f!atfoot and skewfoot. J Bone Joinr Surg (Arn). 1995; 77:500.
TachdjianMO. Pé plano valgo flexível (Pé chato). Editora WB Saunders, 2ª. Ed,1995: 2733-74.
White WJ. Torsion of rheAchilles tendon irs surgical significance.Arch Surg (Arn). 1943; 46:784.
Young CS_. Operarive rrearment of pes planus. Surg Gynecol Obsrec. 1939; 68:1099.