{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:16:16Z","timestamp":1789517776746,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82072421"],"award-info":[{"award-number":["82072421"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The outcome of congenital clubfoot treatment is still challenging if the feet deformities are not completely corrected. Here we explore a minimal invasive procedure with an eight\u2010plate implant to correct the residual forefoot adduction deformity after treatment of neglected or relapsed clubfoot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed patients with residual forefoot adduction deformity after clubfoot treatment between January 2013 and June 2016. The patients underwent temporary epiphysiodesis of the lateral column of the mid\u2010foot, which in detail, an eight\u2010plate was placed on each side of the calcaneocuboid joint. The foot deformities were recorded according to the weight\u2010bearing radiographic measurements including talo\u2010first metatarsal angle, calcaneo\u2010fifth metatarsal angle and medial\u2010to\u2010lateral column length.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 13 patients (20 feet) with an average age of 7.8\u2009years old were located with an average duration of 40.8\u2009months follow\u2010up (range, 28 to 54\u00a0months). The average talo\u2010first metatarsal angle improved from 28.3\u00b0 (range, 19\u00b0 to 47\u00b0) preoperatively to 8.3\u00b0 (range, 3\u00b0 to 18\u00b0) and the calcaneo\u2010fifth metatarsal angle improved from 29.1\u00b0 (range, 19\u00b0 to 40\u00b0) preoperatively to 8.4\u00b0 (range, 0\u00b0 to 21\u00b0) at final follow\u2010up. The mean ratio of the medial\u2010to\u2010lateral column length improved from 1.14\u2009\u00b1\u20090.06 to 1.55\u2009\u00b1\u20090.09 with statistical significance (<jats:italic>t<\/jats:italic>\u00a0=\u00a03.566; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Eight\u2010plate epiphysiodesis is an easy and effective method for the correction of residual forefoot adduction deformity after clubfoot treatment in growing children without the need of osteotomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13548","type":"journal-article","created":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T05:54:14Z","timestamp":1666072454000},"page":"3417-3422","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Outcomes of Eight\u2010Plate Epiphysiodesis for Residual Clubfoot Deformities"],"prefix":"10.1111","volume":"14","author":[{"given":"Haoyu","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongjiang","family":"Ruan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuting","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0017-2622","authenticated-orcid":false,"given":"Hengfeng","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9825-0451","authenticated-orcid":false,"given":"Qinglin","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000801"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00245"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001469"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001524"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-21-65"},{"key":"e_1_2_6_7_1","first-page":"1","article-title":"Ponseti method after walking age\u2014a multi\u2010centric study of 429 feet: results, possible treatment modifications and outcomes according to age groups","volume":"40","author":"Podesta HD","year":"2020","journal-title":"Iowa Orthop J"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000562"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.5152\/j.aott.2021.20040"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2015.07.002"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.5604\/01.3001.0014.4226"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12699663904718"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-20-7730"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0755-4"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200301000-00015"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.200098"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15617"},{"issue":"4","key":"e_1_2_6_18_1","first-page":"533","article-title":"Developmental orthopaedics. 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