Reconstruction of the symptomatic idiopathic XXXX in adolescents and young adults.

@entity1 @entity158 @entity12318
BACKGROUND: The surgical indications, timing, and procedure for flexible @entity12318 reconstruction in young @entity1 remains controversial. This retrospective study reports the clinical results of reconstruction of flexible, idiopathic, symptomatic @entity12318 in adolescent and young adults indicated for surgery by persistent @entity158 and functional limitations. The hypothesis was that the results of these procedures allow @entity1 to return to sports activities with minimal discomfort or @entity158 . MATERIALS AND METHODS: Sixteen consecutive @entity12318 in ten @entity1 with a mean age of 15.6 years at the time of surgery (range, 10 to 22) were assessed at a final followup visit at average of 5.2 (range, 2 to 10) years. Reconstruction included combined medializing calcaneal osteotomy and lateral column lengthening in all 16 @entity1 . Flexor digitorum longus transfer (nine), medial column stabilization (eight), and gastroncnemius recession (eight) were carried out as needed. The AOFAS, SF-36, and FAOS questionnaires were completed. Sports activity and @entity1 satisfaction were also assessed. Standard preoperative and postoperative radiographic parameters were measured. RESULTS: The mean AOFAS score increased on average from 49.1 to 93.4. Only one @entity1 reported a postoperative restriction in sports. The satisfaction level was excellent in 15 feet and good in one foot. Significant improvement in radiographic parameters was noted for the AP talonavicular coverage angle (p < 0.001) and lateral talar-first metatarsal angle (p < 0.001). CONCLUSION: Flexible @entity12318 reconstruction in a cohort of symptomatic adolescent and young adult @entity1 achieved a @entity158 and improved functional outcome including the ability to participate in sporting activities.
