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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia del Piede 2012 December;36(3):127-42

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: Italian

Neck talar directional osteotomy in the treatment of structured flat-valgus foot without arthrosis: surgical technique, rehabilitation, results

Castaman E. 1, Albarkouni A. 1, Inguaggiato M. 1, Rosini C. 2, Ruo A. 1

1 Reparto di Ortopedia e Traumatologia - Ospedale Civile U.L.S.S. 5 - Montecchio Maggiore (VI); 2 Università Politecnica delle Marche, Scuola di Specializzazione in Ortopedia e Traumatologia (AN)


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Despite its exceptional statistics, the resection-reorientation talar neck osteotomy was adopted by the senior Author of this article since 1995, collecting an own database about one hundred treated feet. Method was firmly performed according to its basilar principles with just a few variations, mostly related to fixation devices, but, just in the early stages, as original significant biomechanical augmentation, a seno-tarsal supporting endorthesis was often associated: this supplementary implant provides better stabilization, avoiding post operative immobilization and allowing fast autonomy. In a notable group-sample, whose medium follow-up was 4 years, evidence of specialized clinical-radiographic points and detailed evaluation of subjective aspects with dedicated scale (VAS FA) shown very satisfactory outcomes for morphological effect, expedited rehabilitation, quality of functional recovery.

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