The SUPERankle procedure in the treatment of foot and ankle deformities in fibular hemimelia
Objective: To review indications for limb amputation or reconstruction using the SUPERankle procedure in patients diagnosed with Paley type 3 or 4 fibular hemimelia; To evaluate the correction of deformities needed to achieve a stable plantigrade foot, review variations of the original technique and...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2021-12-01
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| Series: | Journal of the Foot & Ankle |
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| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1555 |
| _version_ | 1819237581287587840 |
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| author | Carlos Eduardo Cabral Fraga Gabriel João Francisco Souza Jefferson Soares Martins Marcos Vinicius Muniz Lemos Souto Rodolfo Amoedo de Castilho Candido Pinto Túlio Romano Troncoso Chaves |
| author_facet | Carlos Eduardo Cabral Fraga Gabriel João Francisco Souza Jefferson Soares Martins Marcos Vinicius Muniz Lemos Souto Rodolfo Amoedo de Castilho Candido Pinto Túlio Romano Troncoso Chaves |
| author_sort | Carlos Eduardo Cabral Fraga |
| collection | DOAJ |
| description | Objective: To review indications for limb amputation or reconstruction using the SUPERankle procedure in patients diagnosed with Paley type 3 or 4 fibular hemimelia; To evaluate the correction of deformities needed to achieve a stable plantigrade foot, review variations of the original technique and their applicability, and describe challenges encountered in their execution. Methods: Qualitative, retrospective, descriptive study of 4 patients who underwent the SUPERankle procedure between 2019 and 2020 for treatment of foot and ankle deformities in fibular hemimelia. Pre- and postoperative clinical and radiographic evaluations were performed to identify objective evidence of the correction of foot and ankle deformities. The operative techniques employed are described. Results: The included patients met anatomical and psychosocial criteria for reconstruction, as established in the literature. Clinical correction of foot and ankle deformities was achieved, but on radiographic evaluation, there was no statistical difference; this was likely due to the small number of patients, given the rarity of fibular hemimelia. Conclusion: The procedure is reproducible, but requires a knowledgeable, well-trained surgical team. Correction of foot and ankle deformities can be achieved. The choice between amputation or reconstruction should be the result of an informed decision by Family members, supported by a multidisciplinary team. Level of Evidence IV; Qualitative Study; Case Series. |
| first_indexed | 2024-12-23T13:22:36Z |
| format | Article |
| id | doaj.art-357ec262e25d42a1b8ebc17b4f0078b5 |
| institution | Directory Open Access Journal |
| issn | 2675-2980 |
| language | English |
| last_indexed | 2024-12-23T13:22:36Z |
| publishDate | 2021-12-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj.art-357ec262e25d42a1b8ebc17b4f0078b52022-12-21T17:45:24ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802021-12-0115310.30795/jfootankle.2021.v15.1555The SUPERankle procedure in the treatment of foot and ankle deformities in fibular hemimeliaCarlos Eduardo Cabral Fraga0Gabriel João Francisco Souza1Jefferson Soares Martins2Marcos Vinicius Muniz Lemos Souto3Rodolfo Amoedo de Castilho Candido Pinto4Túlio Romano Troncoso Chaves5Hospital das Clínicas da Universidade Federal de Goiás, Goiânia, Goiás, BrazilHospital das Clínicas da Universidade Federal de Goiás, Goiânia, Goiás, BrazilHospital das Clínicas da Universidade Federal de Goiás, Goiânia, Goiás, BrazilHospital das Clínicas da Universidade Federal de Goiás, Goiânia, Goiás, BrazilHospital das Clínicas da Universidade Federal de Goiás, Goiânia, Goiás, BrazilHospital das Clínicas da Universidade Federal de Goiás, Goiânia, Goiás, BrazilObjective: To review indications for limb amputation or reconstruction using the SUPERankle procedure in patients diagnosed with Paley type 3 or 4 fibular hemimelia; To evaluate the correction of deformities needed to achieve a stable plantigrade foot, review variations of the original technique and their applicability, and describe challenges encountered in their execution. Methods: Qualitative, retrospective, descriptive study of 4 patients who underwent the SUPERankle procedure between 2019 and 2020 for treatment of foot and ankle deformities in fibular hemimelia. Pre- and postoperative clinical and radiographic evaluations were performed to identify objective evidence of the correction of foot and ankle deformities. The operative techniques employed are described. Results: The included patients met anatomical and psychosocial criteria for reconstruction, as established in the literature. Clinical correction of foot and ankle deformities was achieved, but on radiographic evaluation, there was no statistical difference; this was likely due to the small number of patients, given the rarity of fibular hemimelia. Conclusion: The procedure is reproducible, but requires a knowledgeable, well-trained surgical team. Correction of foot and ankle deformities can be achieved. The choice between amputation or reconstruction should be the result of an informed decision by Family members, supported by a multidisciplinary team. Level of Evidence IV; Qualitative Study; Case Series.https://jfootankle.com/JournalFootAnkle/article/view/1555HemimeliaFibulaReconstructive surgical proceduresLeg length inequality |
| spellingShingle | Carlos Eduardo Cabral Fraga Gabriel João Francisco Souza Jefferson Soares Martins Marcos Vinicius Muniz Lemos Souto Rodolfo Amoedo de Castilho Candido Pinto Túlio Romano Troncoso Chaves The SUPERankle procedure in the treatment of foot and ankle deformities in fibular hemimelia Journal of the Foot & Ankle Hemimelia Fibula Reconstructive surgical procedures Leg length inequality |
| title | The SUPERankle procedure in the treatment of foot and ankle deformities in fibular hemimelia |
| title_full | The SUPERankle procedure in the treatment of foot and ankle deformities in fibular hemimelia |
| title_fullStr | The SUPERankle procedure in the treatment of foot and ankle deformities in fibular hemimelia |
| title_full_unstemmed | The SUPERankle procedure in the treatment of foot and ankle deformities in fibular hemimelia |
| title_short | The SUPERankle procedure in the treatment of foot and ankle deformities in fibular hemimelia |
| title_sort | superankle procedure in the treatment of foot and ankle deformities in fibular hemimelia |
| topic | Hemimelia Fibula Reconstructive surgical procedures Leg length inequality |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1555 |
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