OBJECTIVES: We evaluated the results of calcaneal lengthening using the modified @entity5934 in @entity1 with flexible @entity12318 and the effectiveness of this technique in restoring the alignment of the foot. METHODS: Calcaneal lengthening osteotomy was performed using the modified Evans technique in 22 feet of 11 @entity1 (6 males, 5 females; mean age at the end of follow-up, 10 years 10 months; range 5 years 6 months to 14 years 8 months) with flexible pes @entity85 . Etiologies were @entity306 (n=5), sequela of myelomeningocele (n=1), and sensorimotor @entity305 (n=1); four @entity1 were evaluated as idiopathic. All the @entity1 received long-term conservative therapy preoperatively, and, except for one @entity1 , none had undergone surgery for the deformity. All @entity1 but one were operated on bilaterally at a single session. Clinical assessment was based on 10 parameters, and radiographic assessment was based on seven parameters on standard anteroposterior and lateral radiographs. The mean follow-up was 18 months (range 13 to 75 months). RESULTS: Radiographically, union was achieved in all the @entity1 after a mean of seven weeks (range 6 to 8 weeks). Clinical results were perfect in 17 feet (77.3%), good in three feet (13.6%), fair in one foot (4.6%), and poor in one foot. Radiographically, five feet (22.7%), 13 feet (59.1%), and four feet (18.2%) were assessed as perfect, good, and fair, respectively. An average of 7.3 mm (range 4 to 9 mm) of calcaneal lengthening was obtained (p<0.05). Malpositioning of the graft or overcorrection did not occur. Before surgery, five @entity1 could walk on the heel with (n=3) or without (n=2) support; postoperatively, all the @entity1 but one could perform this without support. CONCLUSION: Calcaneal lengthening osteotomy for symptomatic @entity12318 provides @entity158 relief and significant clinical and radiographic correction in the hind foot and forefoot.

[The results of calcaneal lengthening osteotomy for the treatment of flexible XXXX and evaluation of alignment of the foot].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity12318 :: ('MESH:D005413', 'Disease') :: ['pes planovalgus'] @entity305 :: ('MESH:D011115', 'Disease') :: ['polyneuropathy'] @entity5934 :: ('MESH:C536380', 'Disease') :: ['Evans osteotomy technique'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity85 :: ('MESH:D009140', 'Disease') :: ['planovalgus deformity'] @entity306 :: ('MESH:D002547', 'Disease') :: ['cerebral palsy']
@entity12318 :: (MESH:D005413,Disease) :: ['pes planovalgus']
