ReviewArchives of orthopaedic and trauma surgery2022
Talus morphology differs between flatfeet and controls, but its variety has no influence on extent of surgical deformity correction.
Review in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
9 citing papers in PubMed.
- Optimizing Sagittal Talar Alignment With Subtalar Arthroereisis Prior to Total Ankle Replacement in PCFD Class E: A Technical Tip.Foot & ankle orthopaedics · 2026Article
- Volumetric relationships of foot bones and the role of the talus in hallux valgus.Joint diseases and related surgery · 2026Article
- A multiple joint morphometric analysis of female patients with progressive collapsing foot deformity: a cross-sectional study.Journal of orthopaedic surgery and research · 2026Article
- Sinus Tarsi Morphometry Is Correlated with Flatfoot Severity on Weight-Bearing CT.Diagnostics (Basel, Switzerland) · 2026Article
- 3D foot and ankle radiographic measurement toolbox.Frontiers in bioengineering and biotechnology · 2026Article
- Progressive Collapsing Foot Deformity: Multi-bone Modeling and Joint Level Measurements.Annals of biomedical engineering · 2025Article
- Joint coverage analysis in progressive collapsing foot deformity.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023Article
- Coverage maps demonstrate 3D Chopart joint subluxation in weightbearing CT of progressive collapsing foot deformity.Scientific reports · 2022Article
- Description of anatomical differences in 3D bone morphology between female individuals with progressive collapsing foot deformity and asymptomatic controls.The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle SurgeonsArticle
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundProgressive collapsing foot deformity (PCFD) is a complex 3-dimensional (3-D) deformity with varying degrees of hindfoot valgus, forefoot abduction, and midfoot varus. The first aim of this study was to perform a 3-D analysis of the talus morphology between symptomatic PCFD patients that underwent operative flatfoot correction and controls. The second aim was to investigate if there is an impact of individual talus morphology on the success of operative flatfoot correction.
methodsWe reviewed all patients that underwent lateral calcaneal lengthening for correction of PCFD between 2008 and 2018 at our clinic. Radiographic flatfoot parameters on preoperative and postoperative radiographs were assessed. Additionally, 3-D surface models of the tali were generated using computed tomography (CT) data. The talus morphology of 44 flatfeet was compared to 3-D models of 50 controls without foot or ankle pain of any kind.
resultsGroups were comparable regarding demographics. Talus morphology differed significantly between PCFD and controls in multiple aspects. There was a 2.6° increased plantar flexion (22.3° versus 26°; p = 0.02) and medial deviation (31.7° and 33.5°; p = 0.04) of the talar head in relation to the body in PCFD patients compared to controls. Moreover, PCFD were characterized by an increased valgus (difference of 4.6°; p = 0.01) alignment of the subtalar joint. Satisfactory correction was achieved in all cases, with an improvement of the talometatarsal-angle and the talonavicular uncoverage angle of 5.6° ± 9.7 (p = 0.02) and 9.9° ± 16.3 (p = 0.001), respectively. No statistically significant correlation was found between talus morphology and the correction achieved or loss of correction one year postoperatively.
conclusionThe different morphological features mentioned above might be contributing or risk factors for progression to PCFD. However, despite the variety of talar morphology, which is different compared to controls, the surgical outcome of calcaneal lengthening osteotomy was not affected. LEVEL OF EVIDENCE: III.
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