The Journal of Foot and Ankle Surgery

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Presentation transcript:

The Journal of Foot and Ankle Surgery Calcaneocuboid Distraction Arthrodesis With Synthetic Bone Grafts: Preliminary Results of an Innovative Bone Grafting Procedure in 13 Patients Hayato Kobayashi, MD, PhD, Yasunori Kageyama, MD, PhD, Yoji Shido, MD, PhD The Journal of Foot and Ankle Surgery DOI: 10.1053/j.jfas.2017.07.003 Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 1 (A) Anteroposterior, (B) lateral, and (C) hindfoot alignment radiographs showing the radiographic variables. A smaller negative heel alignment angle indicates a greater lateral or valgus deviation of the calcaneus. Abbreviations: CP, calcaneal pitch; HA, heel alignment (angle); TMT, talo-first metatarsal (angle); TNC, talonavicular coverage (angle). The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.003) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 2 Anteroposterior and hindfoot alignment radiographs of a 59-year-old female with flexible flatfoot deformity associated with varus ankle osteoarthritis and peritalar instability: (A and B) preoperatively and (C and D) 29 months postoperatively. Note that mortise-plasty osteotomy addressed the supramalleolar and intraarticular varus deformities, and calcaneocuboid distraction arthrodesis corrected the inframalleolar valgus deformities. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.003) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 3 Intraoperative photograph showing 2 β-tricalcium phosphate wedges inserted into the arthrodesis site in a press-fit manner. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.003) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 4 Lateral weightbearing radiograph of the left foot taken 33 months postoperatively showing broken hardware, loss of correction, and absorption of graft materials. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.003) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 5 Anteroposterior, lateral, and hindfoot alignment radiographs of a 73-year-old female with flexible flatfoot deformity associated with hallux valgus deformity: (A to C) preoperatively and (D to F) 23 months postoperatively. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.003) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions

Fig. 5 Anteroposterior, lateral, and hindfoot alignment radiographs of a 73-year-old female with flexible flatfoot deformity associated with hallux valgus deformity: (A to C) preoperatively and (D to F) 23 months postoperatively. The Journal of Foot and Ankle Surgery DOI: (10.1053/j.jfas.2017.07.003) Copyright © 2017 American College of Foot and Ankle Surgeons Terms and Conditions