Minimally invasive surgery in medial displacement calcaneal osteotomy for acquired flatfoot deformity: a systematic review of the literature.
Acquired flat foot
Complications
Hindfoot correction
Medial displacement calcaneal osteotomy
Minimally invasive surgery
Results
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
11 Jan 2024
11 Jan 2024
Historique:
received:
16
06
2023
accepted:
19
12
2023
medline:
12
1
2024
pubmed:
12
1
2024
entrez:
11
1
2024
Statut:
aheadofprint
Résumé
Minimally invasive surgery (MIS) in medial displacement calcaneus osteotomy (MDCO) has been proposed for surgical correction of adult-acquired flat foot deformity (AAFD) to reduce complications of open approaches. The aim of our study is to systematically analyze complications and the clinical and radiological results of MIS- MDCO. A systematic review of the English literature was performed on 30th October 2023. Randomized controlled trials and non-randomized trials, cohort studies, case-control studies and case series concerning surgical correction of AAFD with MIS-MDCO and with at least 15 patients were included. Case reports, technical notes, animal or cadaveric studies were excluded. The quality and risk of bias of the studies included were evaluated using GRADE and MINORS systems. Complications rate, clinical and radiological results were inferred from the studies included. Nine articles were included. A total of 501 cases treated with MIS-MDCO were analysed with a mean follow-up of 11.9 ± 5.1 months. The reported wound infection rate was about 3% and sural neuropathy was rated about 1%. Only 4% of the cases required removal of the screw for pain. In the comparative studies (MIS versus Open MDCO), comparable clinical results but with significant differences (P < 0.001) in infection rates (1% versus 14%) and sural neuropathy (2% versus 1%) were observed. AAFD correction performed with MIS-MDCO, with the limitation of a poor quality and high risk of bias of the included studies, seems to provide good clinical results and high subjective satisfaction with a lower complication rate compared to open approach. Further high-quality long-term comparative studies could better clarify complications and clinical and radiological outcomes of the MIS technique in the treatment of AAFD. Level IV.
Sections du résumé
BACKGROUND
BACKGROUND
Minimally invasive surgery (MIS) in medial displacement calcaneus osteotomy (MDCO) has been proposed for surgical correction of adult-acquired flat foot deformity (AAFD) to reduce complications of open approaches. The aim of our study is to systematically analyze complications and the clinical and radiological results of MIS- MDCO.
METHODS
METHODS
A systematic review of the English literature was performed on 30th October 2023. Randomized controlled trials and non-randomized trials, cohort studies, case-control studies and case series concerning surgical correction of AAFD with MIS-MDCO and with at least 15 patients were included. Case reports, technical notes, animal or cadaveric studies were excluded. The quality and risk of bias of the studies included were evaluated using GRADE and MINORS systems. Complications rate, clinical and radiological results were inferred from the studies included.
RESULTS
RESULTS
Nine articles were included. A total of 501 cases treated with MIS-MDCO were analysed with a mean follow-up of 11.9 ± 5.1 months. The reported wound infection rate was about 3% and sural neuropathy was rated about 1%. Only 4% of the cases required removal of the screw for pain. In the comparative studies (MIS versus Open MDCO), comparable clinical results but with significant differences (P < 0.001) in infection rates (1% versus 14%) and sural neuropathy (2% versus 1%) were observed.
CONCLUSION
CONCLUSIONS
AAFD correction performed with MIS-MDCO, with the limitation of a poor quality and high risk of bias of the included studies, seems to provide good clinical results and high subjective satisfaction with a lower complication rate compared to open approach. Further high-quality long-term comparative studies could better clarify complications and clinical and radiological outcomes of the MIS technique in the treatment of AAFD.
LEVEL OF EVIDENCE
METHODS
Level IV.
Identifiants
pubmed: 38212588
doi: 10.1007/s00402-023-05188-z
pii: 10.1007/s00402-023-05188-z
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Ian PK, Mark EE (2001) Treatment of stage 3 adult acquired flatfoot. Foot Ankle Clin 6(1):153–166. https://doi.org/10.1016/S1083-7515(03)00073-1
doi: 10.1016/S1083-7515(03)00073-1
Tao X, Chen W, Tang K (2019) Surgical procedures for treatment of adult acquired flatfoot deformity: a network meta-analysis. J Orthop Surg Res 14(1):62. https://doi.org/10.1186/s13018-019-1094-0
doi: 10.1186/s13018-019-1094-0
pubmed: 30791933
pmcid: 6385451
Abousayed MM, Alley MC, Shakked R, Rosenbaum AJ (2017) Adult-acquired flatfoot deformity: etiology, diagnosis, and management. JBJS Rev 5(8):e7. https://doi.org/10.2106/JBJS.RVW.16.00116 . (PMID: 28806265)
doi: 10.2106/JBJS.RVW.16.00116
pubmed: 28806265
Smyth NA, Aiyer AA, Kaplan JR, Carmody CA, Kadakia AR (2017) Adult-acquired flatfoot deformity. Eur J Orthop Surg Traumatol 27(4):433–439. https://doi.org/10.1007/s00590-017-1945-5 . (Epub 2017 Mar 21 PMID: 28324203)
doi: 10.1007/s00590-017-1945-5
pubmed: 28324203
Sammarco GJ, Hockenbury RT (2001) Treatment of stage II posterior tibial tendon dysfunction with flexor hallucis longus transfer and medial displacement calcaneal osteotomy. Foot Ankle Int 22(4):305–312. https://doi.org/10.1177/107110070102200406 . (PMID: 11354443)
doi: 10.1177/107110070102200406
pubmed: 11354443
Guzman JZ, Schipper O, Vulcano E (2021) Letter regarding: risk factors for complications associated with minimally invasive medial displacement calcaneal osteotomy. Foot Ankle Int 42(9):1215–1216. https://doi.org/10.1177/10711007211033849
doi: 10.1177/10711007211033849
pubmed: 34529528
Gleich A (1893) Beitrag zur operativen Plattfussbehandlung. Arch klin Chir. https://doi.org/10.1007/978-3-642-91239-9_13
doi: 10.1007/978-3-642-91239-9_13
Koutsogiannis E (1971) Treatment of mobile flat foot by displacement osteotomy of the calcaneus. J Bone Joint Surg Br 53(1):96–100 (PMID: 5578768)
doi: 10.1302/0301-620X.53B1.96
pubmed: 5578768
Louwerens JW, Valderrabano V, Winson I (2011) Minimal invasive surgery (MIS) in foot and ankle surgery. Foot Ankle Surg 17(2):51. https://doi.org/10.1016/j.fas.2011.03.001 . (Epub 2011 Apr 6. PMID: 21549971)
doi: 10.1016/j.fas.2011.03.001
pubmed: 21549971
Deborah ME, Roger MA (1992) Lateral approaches to the heel a comparison of two incisions for the fixation of calcaneal fractures. Foot 2(3):143–147. https://doi.org/10.1016/0958-2592(92)90062-T
doi: 10.1016/0958-2592(92)90062-T
Silva MG, Tan SH, Chong HC, Su HC, Singh IR (2015) Results of operative correction of grade IIB tibialis posterior tendon dysfunction. Foot Ankle Int 36(2):165–171. https://doi.org/10.1177/1071100714556758 . (Epub 2014 Nov 17 PMID: 25404754)
doi: 10.1177/1071100714556758
pubmed: 25404754
Kendal AR, Khalid A, Ball T, Rogers M, Cooke P, Sharp R (2015) Complications of minimally invasive calcaneal osteotomy versus open osteotomy. Foot Ankle Int 36(6):685–690. https://doi.org/10.1177/1071100715571438 . (Epub 2015 Feb 12 PMID: 25677362)
doi: 10.1177/1071100715571438
pubmed: 25677362
Wacker JT, Hennessy MS, Saxby TS (2002) Calcaneal osteotomy and transfer of the tendon of flexor digitorum longus for stage-II dysfunction of tibialis posterior. Three- to five-year results. J Bone Joint Surg Br 84(1):54–58. https://doi.org/10.1302/0301-620x.84b1.11847 . (PMID: 11837833)
doi: 10.1302/0301-620x.84b1.11847
pubmed: 11837833
Catanzariti AR, Lee MS, Mendicino RW (2000) Posterior calcaneal displacement osteotomy for adult acquired flatfoot. J Foot Ankle Surg 39(1):2–14. https://doi.org/10.1016/s1067-2516(00)80058-7 . (PMID: 10658945)
doi: 10.1016/s1067-2516(00)80058-7
pubmed: 10658945
Jowett CR, Rodda D, Amin A, Bradshaw A, Bedi HS (2016) Minimally invasive calcaneal osteotomy: a cadaveric and clinical evaluation. Foot Ankle Surg 22(4):244–247. https://doi.org/10.1016/j.fas.2015.11.001 . (Epub 2015 Nov 19 PMID: 27810022)
doi: 10.1016/j.fas.2015.11.001
pubmed: 27810022
Talusan PG, Cata E, Tan EW, Parks BG, Guyton GP (2015) Safe zone for neural structures in medial displacement calcaneal osteotomy: a cadaveric and radiographic investigation. Foot Ankle Int 36(12):1493–1498. https://doi.org/10.1177/1071100715595696 . (Epub 2015 Jul 31 PMID: 26231200)
doi: 10.1177/1071100715595696
pubmed: 26231200
Veljkovic A, Tennant J, Rungprai C, Abbas KZ, Phisitkul P (2017) An anatomic study of the percutaneous endoscopically assisted calcaneal osteotomy technique to correct hindfoot malalignment. Foot Ankle Int 38(2):192–199. https://doi.org/10.1177/1071100716674259 . (Epub 2016 Oct 22 PMID: 27765868)
doi: 10.1177/1071100716674259
pubmed: 27765868
Freeman BJ, Duff S, Allen PE, Nicholson HD, Atkins RM (1998) The extended lateral approach to the hindfoot. Anatomical basis and surgical implications. J Bone Joint Surg Br 80(1):139–142. https://doi.org/10.1302/0301-620x.80b1.7987 . (PMID: 9460971)
doi: 10.1302/0301-620x.80b1.7987
pubmed: 9460971
Ray R, Jameson S, Kumar S (2018) Complications of the calcaneal osteotomy. Orthop Proc. https://doi.org/10.1302/0301-620X.92BSUPP_IV.0920590
doi: 10.1302/0301-620X.92BSUPP_IV.0920590
Schuh R, Gruber F, Wanivenhaus A, Hartig N, Windhager R, Trnka HJ (2013) Flexor digitorum longus transfer and medial displacement calcaneal osteotomy for the treatment of stage II posterior tibial tendon dysfunction: kinematic and functional results of fifty-one feet. Int Orthop 37(9):1815–1820. https://doi.org/10.1007/s00264-013-2071-6 . (Epub 2013 Aug 22. PMID: 23974840; PMCID: PMC3764285)
doi: 10.1007/s00264-013-2071-6
pubmed: 23974840
pmcid: 3764285
Guyton GP (2016) Minimally invasive osteotomies of the calcaneus. Foot Ankle Clin 21(3):551–566. https://doi.org/10.1016/j.fcl.2016.04.007 . (PMID: 27524705)
doi: 10.1016/j.fcl.2016.04.007
pubmed: 27524705
Kheir E, Borse V, Sharpe J, Lavalette D, Farndon M (2015) Medial displacement calcaneal osteotomy using minimally invasive technique. Foot Ankle Int 36(3):248–252. https://doi.org/10.1177/1071100714557154 . (Epub 2014 Oct 20 PMID: 25331419)
doi: 10.1177/1071100714557154
pubmed: 25331419
Mali NEM (2011) Minimally invasive surgery of the foot & ankle. Springer
Tennant JN, Veljkovic A, Phisitkul P (2013) Technique tip: percutaneous endoscopically-assisted calcaneal slide osteotomy. Iowa Orthop J 33:191–195 (PMID: 24027482; PMCID: PMC3748879)
pubmed: 24027482
pmcid: 3748879
Waizy H, Jowett C, Andric V (2018) Minimally invasive versus open calcaneal osteotomies - comparing the intraoperative parameters. Foot (Edinb) 37:113–118. https://doi.org/10.1016/j.foot.2018.06.005 . (Epub 2018 Jun 20 PMID: 30396147)
doi: 10.1016/j.foot.2018.06.005
pubmed: 30396147
Cumpston M, Li T, Page MJ, Chandler J, Welch VA, Higgins JP, Thomas J (2019) Updated guidance for trusted systematic reviews: a new edition of the cochrane handbook for systematic reviews of interventions. Cochrane Database Syst Rev 10:ED000142. https://doi.org/10.1002/14651858.ED000142 . (PMID: 31643080)
doi: 10.1002/14651858.ED000142
pubmed: 31643080
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62(10):1006–1012. https://doi.org/10.1016/j.jclinepi.2009.06.005 . (Epub 2009 Jul 23 PMID: 19631508)
doi: 10.1016/j.jclinepi.2009.06.005
pubmed: 19631508
OCEBM Levels of Evidence Working Group*. "The Oxford Levels of Evidence 2". Oxford Centre for Evidence-Based Medi- cine. https://www.cebm.net/index.aspx?o=5653 . Accessed Febru- ary 1st, 2020.
Guyatt GH et al (2008) GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336(7650):924–926
doi: 10.1136/bmj.39489.470347.AD
pubmed: 18436948
pmcid: 2335261
Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg 73(9):712–716. https://doi.org/10.1046/j.1445-2197.2003.02748.x . (PMID: 12956787)
doi: 10.1046/j.1445-2197.2003.02748.x
pubmed: 12956787
Gutteck N, Zeh A, Wohlrab D, Delank KS (2019) Comparative results of percutaneous calcaneal osteotomy in correction of hindfoot deformities. Foot Ankle Int 40(3):276–281. https://doi.org/10.1177/1071100718809449 . (Epub 2018 Nov 9 PMID: 30413133)
doi: 10.1177/1071100718809449
pubmed: 30413133
Catani O, Cautiero G, Sergio F, Cattolico A, Calafiore D, de Sire A, Zanchini F (2021) Medial displacement calcaneal osteotomy for unilateral adult acquired flatfoot effects of minimally invasive surgery on pain, alignment, functioning, and quality of life. J Foot Ankle Surg 60(2):358–361. https://doi.org/10.1053/j.jfas.2020.11.003 . (Epub 2020 Dec 3. PMID: 33472755)
doi: 10.1053/j.jfas.2020.11.003
pubmed: 33472755
Coleman MM, Abousayed MM, Thompson JM, Bean BA, Guyton GP (2021) Risk factors for complications associated with minimally invasive medial displacement calcaneal osteotomy. Foot Ankle Int 42(2):121–131. https://doi.org/10.1177/1071100720961094 . (Epub 2020 Oct 14 PMID: 33449834)
doi: 10.1177/1071100720961094
pubmed: 33449834
deMeireles AJ, Guzman JZ, Nordio A, Chan J, Okewunmi J, Vulcano E (2022) Complications after percutaneous osteotomies of the calcaneus. Foot Ankle Orthop 7(3):24730114221119732. https://doi.org/10.1177/24730114221119731 . (PMID:36046552;PMCID:PMC9421033)
doi: 10.1177/24730114221119731
pubmed: 36046552
pmcid: 9421033
Durston A, Bahoo R, Kadambande S, Hariharan K, Mason L (2015) Minimally invasive calcaneal osteotomy: does the shannon burr endanger the neurovascular structures? A cadaveric study. J Foot Ankle Surg 54(6):1062–1066. https://doi.org/10.1053/j.jfas.2015.05.007 . (Epub 2015 Jul 23 PMID: 26210080)
doi: 10.1053/j.jfas.2015.05.007
pubmed: 26210080
Sayres SC, Gu Y, Kiernan S, DeSandis BA, Elliott AJ, O’Malley MJ (2015) Comparison of rates of union and hardware removal between large and small cannulated screws for calcaneal osteotomy. Foot Ankle Int 36(1):32–36. https://doi.org/10.1177/1071100714549191 . (Epub 2014 Sep 4 PMID: 25189540)
doi: 10.1177/1071100714549191
pubmed: 25189540
Myerson MS, Badekas T (2010) Results of treatment of stage II posterior tibial tendon rupture with flexor digitorum longus tendon transfer and calcaneal osteotomy. Med Chir Pied. 26:43–51. https://doi.org/10.1007/S10243-010-0286-4
doi: 10.1007/S10243-010-0286-4
Ruffilli A, Traina F, Giannini S, Buda R, Perna F, Faldini C (2018) Surgical treatment of stage II posterior tibialis tendon dysfunction: ten-year clinical and radiographic results. Eur J Orthop Surg Traumatol 28(1):139–145. https://doi.org/10.1007/s00590-017-2011-z . (Epub 2017 Jul 11 PMID: 28698915)
doi: 10.1007/s00590-017-2011-z
pubmed: 28698915
Brinker MR, O’Connor DP (2016) The biological basis for nonunions. JBJS Rev 4(6):e3. https://doi.org/10.2106/JBJS.RVW.15.00078 . (PMID: 27486720)
doi: 10.2106/JBJS.RVW.15.00078
pubmed: 27486720
Howard JL, Buckley R, McCormack R, Pate G, Leighton R, Petrie D, Galpin R (2003) Complications following management of displaced intra-articular calcaneal fractures: a prospective randomized trial comparing open reduction internal fixation with nonoperative management. J Orthop Trauma 17(4):241–249. https://doi.org/10.1097/00005131-200304000-00001 . (PMID: 12679683)
doi: 10.1097/00005131-200304000-00001
pubmed: 12679683
Abidi NA, Dhawan S, Gruen GS, Vogt MT, Conti SF (1998) Wound-healing risk factors after open reduction and internal fixation of calcaneal fractures. Foot Ankle Int 19(12):856–861. https://doi.org/10.1177/107110079801901211 . (PMID: 9872474)
doi: 10.1177/107110079801901211
pubmed: 9872474
Benirschke SK, Kramer PA (2004) Wound healing complications in closed and open calcaneal fractures. J Orthop Trauma 18(1):1–6. https://doi.org/10.1097/00005131-200401000-00001 . (PMID: 14676549)
doi: 10.1097/00005131-200401000-00001
pubmed: 14676549
Colo G, Mazzola MA, Pilone G, Dagnino G, Felli L (2021) Lateral open wedge calcaneus osteotomy with bony allograft augmentation in adult acquired flatfoot deformity. Clinical and radiological results. Eur J Orthop Surg Traumatol 31(7):1395–1402. https://doi.org/10.1007/s00590-021-02888-3 . (Epub 2021 Feb 12. PMID: 33576876; PMCID: PMC8448706)
doi: 10.1007/s00590-021-02888-3
pubmed: 33576876
pmcid: 8448706
Reddy SC, Schipper ON, Li J (2022) The effect of chilled vs room-temperature irrigation on thermal energy dissipation during minimally invasive calcaneal osteotomy of cadaver specimens. Foot Ankle Orthop 7(4):24730114221136548. https://doi.org/10.1177/24730114221136548 . (PMID:36386595;PMCID:PMC9659937)
doi: 10.1177/24730114221136548
pubmed: 36386595
pmcid: 9659937
Abbasian A, Zaidi R, Guha A, Goldberg A, Cullen N, Singh D (2013) Comparison of three different fixation methods of calcaneal osteotomies. Foot Ankle Int 34(3):420–425. https://doi.org/10.1177/1071100712473742 . (Epub 2013 Feb 7 PMID: 23391624)
doi: 10.1177/1071100712473742
pubmed: 23391624
Lee M, Guyton GP, Zahoor T, Schon LC (2016) Minimally invasive calcaneal displacement osteotomy site using a reference kirschner wire: a technique tip. J Foot Ankle Surg 55(5):1121–1126. https://doi.org/10.1053/j.jfas.2016.05.006 . (Epub 2016 Jun 7 PMID: 27286926)
doi: 10.1053/j.jfas.2016.05.006
pubmed: 27286926