Retrospective Study
Copyright ©The Author(s) 2024.
World J Orthop. Jul 18, 2024; 15(7): 618-626
Published online Jul 18, 2024. doi: 10.5312/wjo.v15.i7.618
Table 1 Functional motor level of patients (n = 19)
Functional motor level
Number of patients
Mid-lumbar9
Low-lumbar2
Sacral8
Table 2 Additional soft tissue and osseous procedures performed
Soft tissue and osseous procedures
Number of patients undergoing procedure
Talonavicular joint capsule release19
Abductor hallucis release19
Tibialis posterior lengthening/release18
Peroneus longus to peroneus brevis transfer13
Jones transfer (extensor hallucis longus transfer to first metatarsal neck)10
Flexor hallucis longus lengthening/release9
Flexor digitorum longus lengthening/release9
Great toe interphalangeal joint fusion7
Achilles tendon lengthening6
Calcaneocuboid joint capsule release4
Extensor hallucis longus to extensor hallucis brevis transfer2
Tibialis anterior lengthening1
Split posterior tibial tendon transfer to peroneus brevis1
Anterior tibial tendon transfer to lateral cuneiform1
Table 3 Radiographic outcomes data (n = 11)
Angle measurement
Average preoperative value (range)
Average value after stage 11 (range)
Average value after stage 2 (range)
P value preoperative to post-stage 12
P value post-stage 1 to post-stage 22
P value preoperative to post-stage 2
Meary’s17.9 ± 13.1 (3.0-50.1)13.8 ± 7.1 (4.4-25.3)4.7 ± 10.3 (-8.0 to 21.)0.470.0560.016a
Calcaneal pitch22.4 ± 4.0 (16.4-29.6)25.0 ± 6.3 (15.8-32.7)21.3 ± 7.6 (12.3-32.4)0.300.300.53
AP TMT120.6 ± 15.1 (6.2-40.8)8.4 ± 7.4 (1.4-21.5)9.3 ± 5.5 (1.5-22.9)0.0660.780.011a
Lateral talocalcaneal43.6 ± 9.8 (22.9-57.9)42.6 ± 10.7 (26.2-53.0)41.7 ± 9.2 (27.5-51.1)0.850.860.46
AP talocalcaneal15.8 ± 6.7 (6.3-25.0)16.7 ± 9.8 (3.5-29.7)18.9 ± 8.6 (8.7-33.9)0.810.620.32
Talonavicular coverage-10.3 ± 9.6 (-28.3 to 1.2)-4.0 ± 7.2 (-11.0 to 9.3)-3.8 ± 10.1 (-22.1 to 16)0.160.970.025a
Table 4 Wicart grading system for correction of pes cavovarus with respect to postoperative lateral Meary’s angle
Correction score
M
Very good0 ≤ M < 5
Good5 ≤ M < 15
Fair15 ≤ M < 20
PoorM ≥ 20 or need for revision surgery