ArticleIndian journal of orthopaedics2026
Extracorporeal Shock Wave Therapy Combined with Subtalar Arthroereisis and Medial Column Stabilisation in the Treatment of PCFD: A Retrospective Study.
Article in Indian journal of orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Both the stability of the subtalar joint and the support of the medial column serve as crucial stabilising structures in progressive collapsing foot deformity (PCFD). Effective restoration of these stabilising components-often involving gastrocnemius or Achilles tendon recession-is essential for the treatment of PCFD. Therefore, this study aims to evaluate the clinical outcomes of extracorporeal shock wave therapy (ESWT) combined with subtalar arthroereisis and medial column stabilisation for PCFD. Methods: Sixty-eight patients (68 feet) with PCFD treated at our hospital between February 2023 and April 2024 were retrospectively analysed. The patients were divided into two groups based on treatment regimen: the intervention group (IG, Results: Postoperative follow-up lasted at least 12 months, with a mean duration of (13.66 ± 1.65) months. At the last follow-up, analyses revealed that both groups exhibited significant improvements in weight-bearing X-ray parameters (T1-MT, TNCA, pitch angle, Meary's angle and CVA) compared with their preoperative values ( Conclusion: ESWT combined with DSP effectively ameliorates PCFD, restores ankle-foot function and lower limb alignment and facilitates earlier return to athletic activity postoperatively.
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