Coalition Resection and Extra-Osseous Talotarsal Stabilization for Talocalcaneal Coalition With Pes Planus Deformity: A Retrospective Study.

IF 2.1 2区医学 Q2 ORTHOPEDICS

Orthopaedic Surgery Pub Date : 2025-10-01 Epub Date: 2025-08-26 DOI:10.1111/os.70151

Wenqi Gu, Xianchao Xu, Shaoling Fu, Guoxun Song, Zhongmin Shi, Hongtao Zhang

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引用次数: 0

Abstract

Objective: The treatment of talocalcaneal coalition (TCC) with pes planus deformity in adolescent patients still presents challenges. With the pes planus deformity untreated, the final clinical outcome would be compromised. Therefore, simultaneous correction of pes planus deformity seems to be of great importance. This study aimed to retrospectively evaluate the clinical efficacy of coalition resection combined with extra-osseous talotarsal stabilization (EOTTS) treatment for adolescent TCC with pes planus deformity.

Methods: Data was reviewed for patients of TCC and pes planus deformity treated by coalition resection and EOTTS from January 2018 to January 2024. Meary's angle and talar-1st metatarsal angle (T1MA) were measured to assess the alignment improvement (paired sample t-test). Visual analog scale (VAS) for pain (Wilcoxon signed rank test) and American Orthopedic Foot & Ankle Society ankle-hindfoot score (AOFAS-AHS) (paired sample t-test) were evaluated for the overall clinical outcomes. Time to return to sports activity and complications were also recorded.

Results: No early wound or soft tissue complications occurred. At 1-year follow-up, Meary's angle and T1MA improved from 13.4° ± 5.2° to 5.1° ± 3.4°, and from 14.7° ± 3.7° to 6.4° ± 2.5°, respectively. The median VAS score decreased from 5 to 0, while the AOFAS-AHS increased from 51.1 ± 8.9 to 90.1 ± 9.3 (all p < 0.05). Fifteen patients returned to sports at a median of 3 months (range: 2-4 months). One patient experienced sinus tarsi pain, which was resolved after implant removal at 14th month postoperatively.

Conclusion: Simultaneous coalition resection and EOTTS for adolescent TCC with pes planus deformity achieves satisfactory clinical outcomes with minimal complications.

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距跟骨关节联合切除及骨外距跗骨固定治疗伴平足畸形距跟骨关节联合的回顾性研究。

目的：距足联合（TCC）合并平足畸形青少年患者的治疗仍存在挑战。如果不治疗平足畸形，最终的临床结果将受到影响。因此，平足畸形的同步矫正显得非常重要。本研究旨在回顾性评价联合切除术联合骨外距跗骨稳定（EOTTS）治疗青少年TCC伴平足畸形的临床疗效。方法：回顾性分析2018年1月至2024年1月间采用关节切除联合EOTTS治疗的TCC伴平足畸形患者的资料。测量Meary's角和距骨-第1跖骨角（T1MA）来评估对齐改善情况（配对样本t检验）。评估疼痛视觉模拟量表（VAS）（Wilcoxon sign rank检验）和美国骨科足踝学会踝关节-后足评分（AOFAS-AHS）（配对样本t检验）的总体临床结果。还记录了恢复体育活动的时间和并发症。结果：无早期创面及软组织并发症发生。在1年的随访中，Meary的角度和T1MA分别从13.4°±5.2°改善到5.1°±3.4°，从14.7°±3.7°改善到6.4°±2.5°。VAS评分中位数从5分下降到0分，AOFAS-AHS评分从51.1±8.9分上升到90.1±9.3分（均p）结论：联合手术联合EOTTS治疗青少年TCC伴平足畸形临床效果满意，并发症少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopaedic Surgery ORTHOPEDICS-

CiteScore

3.40

自引率

14.30%

发文量

374

审稿时长

20 weeks

期刊介绍： Orthopaedic Surgery (OS) is the official journal of the Chinese Orthopaedic Association, focusing on all aspects of orthopaedic technique and surgery. The journal publishes peer-reviewed articles in the following categories: Original Articles, Clinical Articles, Review Articles, Guidelines, Editorials, Commentaries, Surgical Techniques, Case Reports and Meeting Reports.