Evidence map›Paper›PMID 38554203›Full record

SynthesisArchives of orthopaedic and trauma surgery2024

Impact of the medial displacement calcaneal osteotomy on foot biomechanics: a systematic literature review.

Gunnar Mueller, Karl-Heinz Frosch, Alexej Barg, Carsten Schlickewei, Hanneke Weel, Nicola Krähenbühl, Matthias Priemel, Elena Mueller

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06957353 (Oblique Sliding K-wire Technique For Controlling Calcaneal Displacement Osteotomy In Flat Foot Correction), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.9field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06957353 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Oblique Sliding K-wire Technique For Controlling Calcaneal Displacement Osteotomy In Flat Foot Correction

TypeinterventionalSponsorAssiut UniversityRan2025 to 2025Enrolled20ConditionsFlat FootArmsoblique K-wire technique in controlling Calcaneal displacement during osteotomy in flatfoot correction
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Gunnar MuellerDepartment of Trauma and Orthopaedic Surgery, Hospital Itzehoe, Itzehoe, Germany.
Karl-Heinz FroschDepartment of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Alexej BargDepartment of Trauma and Orthopaedic Surgery, Hospital Itzehoe, Itzehoe, Germany.
Carsten SchlickeweiDepartment of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Hanneke WeelBergman Clinics, Department of Orthopedics Arnhem, Arnhem, CV, The Netherlands.
Nicola KrähenbühlDepartment of Orthopaedics, University Hospital Basel, Basel, Switzerland.
Matthias PriemelDepartment of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Elena MuellerDepartment of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany. elena_enderle@hotmail.com.
University Medical Center Hamburg-Eppendorf · DEKlinikum Itzehoe · DEBergman Clinics · NLUniversität Hamburg · DEUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProgressive collapsing foot deformity (PCFD), formally known as "adult-acquired flatfoot deformity" (AAFFD), is a complex foot deformity consisting of multiple components. If surgery is required, joint-preserving procedures, such as a medial displacement calcaneal osteotomy (MDCO), are frequently performed. The aim of this systematic review is to provide a summary of the evidence on the impact of MDCO on foot biomechanics. MATERIALS AND

methodsA systematic literature search across two major sources (PubMed and Scopus) without time limitation was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) criteria. Only original research studies reporting on biomechanical changes following a MDCO were included. Exclusion criteria consisted of review articles, case studies, and studies not written in English. 27 studies were included and the methodologic quality graded according to the QUACS scale and the modified Coleman score.

resultsThe 27 included studies consisted of 18 cadaveric, 7 studies based on biomechanical models, and 2 clinical studies. The impact of MDCO on the following five major parameters were assessed: plantar fascia (n = 6), medial longitudinal arch (n = 9), hind- and midfoot joint pressures (n = 10), Achilles tendon (n = 5), and gait pattern parameters (n = 3). The quality of the studies was moderate to good with a pooled mean QUACS score of 65% (range 46-92%) for in-vitro and a pooled mean Coleman score of 58 (range 56-65) points for clinical studies.

conclusionA thorough knowledge of how MDCO impacts foot function is key in properly understanding the postoperative effects of this commonly performed procedure. According to the evidence, MDCO impacts the function of the plantar fascia and Achilles tendon, the integrity of the medial longitudinal arch, hind- and midfoot joint pressures, and consequently specific gait pattern parameters.

Indexed as

CalcaneusFlatfootOsteotomyBiomechanical PhenomenaFootFoot Deformities, AcquiredGaitHumansBiomechanicsFlatfoot deformityMedial displacement calcaneal osteotomyProgressive collapsing foot deformitySystematic literature review

Identifiers

PMID38554203
PMCPMC11093820
OpenAlexW4393343308

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.