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Plantar Measurements to Determine Success of Surgical Correction of Stage IIb Adult Acquired Flatfoot Deformity

Adult Acquired Flatfoot Deformity (AAFD) is a progressive disease characterized by mechanical degeneration of the soft tissue structure in the arch of the foot that leads to changes in joint alignment. Surgical intervention commonly via tendon transfer and bony osteotomy is used to restore arch architecture, however there is a lack of quantitative assessments that measure the success of the surgical correction in vivo. Using plantar pressures via Tekscan® HR Mat and surveys (SF-36, FAOS), pre-operative and post-operative measures for six participants were defined, analyzed and compared. A paired t-test showed significant lateral shift for percent body weight during walking postoperativelyin the forefoot and midfoot regions. However, arch index measurement showed no significant change. The FAOS survey score also improved statistically postoperatively. The surgical correction was successful as deemed by some of these quantitative and qualitative measures.

Identiferoai:union.ndltd.org:vcu.edu/oai:scholarscompass.vcu.edu:etd-3942
Date14 December 2012
CreatorsMatheis, Erika
PublisherVCU Scholars Compass
Source SetsVirginia Commonwealth University
Detected LanguageEnglish
Typetext
Formatapplication/pdf
SourceTheses and Dissertations
Rights© The Author

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