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Adult-acquired flatfoot deformity (AAFD) often requires surgical correction when conservative methods fail. Calcaneal displacement osteotomy is a key procedure in restoring alignment. This study introduces a novel K-wire technique to enhance control during surgery and minimize complications related to manual manipulation. It builds on prior research highlighting the limitations of traditional approaches in achieving precise fragment positioning.
Flat foot deformity, particularly adult - acquired flatfoot (AAFD), often necessitates surgical intervention when conservative treatment fail. Calcaneal displacement osteotomy is a common surgical procedure for correcting calcaneal displacement and achieving stable fixation. The proposed K-wire technique offers a novel approach to improve control and reduce complications associated with manual manipulation during surgery. Previous studies have indicated challenges with traditional methods in achieving precise fragment control. This study aims to address these gaps.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Oblique K-wire Control in Calcaneal Osteotomy for Flatfoot Correction | Other | oblique K-wire technique in controlling Calcaneal displacement during osteotomy in flatfoot correction |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| oblique K-wire technique in controlling Calcaneal displacement during osteotomy in flatfoot correction | Procedure | Under spinal Anaesthesia , patients will placed in lateral decubitus position. A standard lateral incision will be made over the calcaneus, and the osteotomy site will be exposed. An oblique K-wire will be inserted percutaneously into the posterior calcaneus under fluoroscopic guidance to facilitate the desired displacement. Cannulated screws will then be inserted across the osteotomy site to secure the calcaneal fragment. Post-operative care will include a non-weight bearing protocol for six weeks, followed by gradual weight bearing as tolerated. |
| Measure | Description | Time Frame |
|---|---|---|
| assessment of degree of desired displacement | Intra-operative assessment of degree of desired displacement clinical and radiological | baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mina Safwat Fekry, assistant lecturer | Contact | 01280880281 | MinaS.Fekry@aun.edu.eg | |
| Mohammed Mostafa Kotb, professor | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Mohammed Mostafa Kotb, professir | Assiut University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assiut University Hospital | Asyut | 71515 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39160476 | Background | Cai Y, Zhao Z, Huang J, Yu Z, Jiang M, Kang S, Yuan X, Liu Y, Wu X, Ouyang J, Li W, Qian L. Morphological changes in flatfoot: a 3D analysis using weight-bearing CT scans. BMC Med Imaging. 2024 Aug 19;24(1):219. doi: 10.1186/s12880-024-01396-0. | |
| 34687951 | Background | Brilhault J. Calcaneal osteotomy for hindfoot deformity. Orthop Traumatol Surg Res. 2022 Feb;108(1S):103121. doi: 10.1016/j.otsr.2021.103121. Epub 2021 Oct 20. |
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| ID | Term |
|---|---|
| D005413 | Flatfoot |
| ID | Term |
|---|---|
| D000070558 | Talipes |
| D005531 | Foot Deformities, Acquired |
| D005530 | Foot Deformities |
| D009140 | Musculoskeletal Diseases |
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using an oblique K-wire technique in controlling Calcaneal displacement during osteotomy in flatfoot correction
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| 38554203 | Background | Mueller G, Frosch KH, Barg A, Schlickewei C, Weel H, Krahenbuhl N, Priemel M, Mueller E. Impact of the medial displacement calcaneal osteotomy on foot biomechanics: a systematic literature review. Arch Orthop Trauma Surg. 2024 May;144(5):1955-1967. doi: 10.1007/s00402-024-05267-9. Epub 2024 Mar 30. |
| D005532 |
| Foot Deformities, Congenital |
| D038061 | Lower Extremity Deformities, Congenital |
| D017880 | Limb Deformities, Congenital |
| D009139 | Musculoskeletal Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |