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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2003 December;54(6):435-9
Functional, baropodometric and postural study of postsurgical flat foot
Persiani P., Chiozzi F., Vigilante M., Ruo A., Villani C.
1° Divisione, Dipartimento di Scienze dell’Apparato Locomotore, “La Sapienza”, Roma Università degli Studi di Roma
Aim. A baropodometric and postural practical evaluation of the post-surgical outcome for the correction of flat foot using Castaman’s exosinotarsal arthrorisis technique is presented.
Methods. From December 1990 to September 2002, 67 patients, for a total of 132 feet, have been operated at the 1st Division of the Depar-tment of Locomotor Apparatus Science of the University of Rome “La Sapienza”, for the correction of idiopathic valgus flat foot by “calcaneo-stop” with conic screw by Castaman.
Results. The clinical, X-ray, baropodometric and postural examinations performed before and after surgery allowed a complete assesment of the evolution of such deformity and its correction. Patients could correct the deformity, restore the physiology of the backfoot and return to normal balance.
Conclusion. The postural examination sho-wed that the correction trough “calcaneo-stop” obtained with a reduction of the energetic cost for keeping a standing position, both monopodalic and bipodalic and the energetic cost values tend to progressively decrease.