{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:50:22Z","timestamp":1747187422526,"version":"3.40.5"},"reference-count":37,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018543","name":"Natural Science Foundation of Tibet Autonomous Region","doi-asserted-by":"publisher","award":["XZ202201ZR0033G","XZ202201ZY0038G"],"award-info":[{"award-number":["XZ202201ZR0033G","XZ202201ZY0038G"]}],"id":[{"id":"10.13039\/501100018543","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018542","name":"Natural Science Foundation of Sichuan Province","doi-asserted-by":"publisher","award":["2023YFS0014"],"award-info":[{"award-number":["2023YFS0014"]}],"id":[{"id":"10.13039\/501100018542","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Midfoot osteotomy combined with Ilizarov methods of correction is a rarely reported treatment that is particularly well\u2010suited for severe rigid pes cavus. The study aimed to assess the radiological and clinical results of patients who had been treated for rigid pes cavus using this method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study retrospectively analyzed the clinical and radiological data of 15 pes cavus in 12 patients who were corrected by midfoot osteotomy with Ilizarov external frame in our department from March 2020 to September 2022. Radiologic outcomes were measured using the Meary angle (MA), talus\u2010first metatarsal angle (TM1A), calcaneal varus angle (CVA) and foot length with weight\u2010bearing radiographs. Functional assessments were evaluated in terms of pain, function, and quality of life by using the visual analogue scale (VAS), the American Orthopedic Foot and Ankle Society hindfoot scale score (AOFAS), and 36\u2010item Short Form Health Survey (SF\u201036). Additionally, the postoperative satisfaction of patients was investigated by a questionnaire. The clinical and radiological results were evaluated by a paired <jats:italic>t<\/jats:italic>\u2010test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients received plantigrade feet and pain relief. The mean follow\u2010up was 33.1\u2009\u00b1\u20095.0\u2009months (range from 25 to 41\u2009months). The etiology included poliomyelitis (4), idiopathic (3), trauma (2), spina bifida (2) and tethered cord syndrome (1). The duration of gradual correction was 30.4\u2009\u00b1\u200910.6\u2009days, and the external fixation time was 116.3\u2009\u00b1\u200933.3\u2009days. The bony union rate was 100%. The VAS, AOFAS, and SF\u201036 scores significantly improved (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The MA, TM1A, and CVA were close to or reached the normal range postoperative (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). The length of each foot was well preserved, which was increased more than 0.8 cm than preoperative. No major complications were reported except two cases of mildly hindfoot varus deformity. The results of the questionnaire showed that patients' satisfaction was 92% (11\/12).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Midfoot osteotomy combined with Ilizarov external frame proved to be a reasonable procedure with satisfying mid\u2010term results for the gradual correction of rigid pes cavus.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14206","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T04:50:25Z","timestamp":1724734225000},"page":"2242-2251","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Gradual Correction of Rigid Pes Cavus Using Midfoot Osteotomy Combined with Ilizarov Methods"],"prefix":"10.1111","volume":"16","author":[{"given":"Yaxing","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopedics Orthopedic Research Institute, West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boquan","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Orthopedic Research Institute, West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Orthopedic Research Institute, West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shijiu","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Orthopedic Research Institute, West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Orthopedic Research Institute, West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ye","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Orthopedic Research Institute, West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9170-0293","authenticated-orcid":false,"given":"Xiang","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Orthopedic Research Institute, West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huiqi","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Orthopedic Research Institute, West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5449-8946","authenticated-orcid":false,"given":"Hui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Orthopedic Research Institute, West China Hospital, Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2019.02.002"},{"key":"e_1_2_12_3_1","first-page":"43","article-title":"Telescopic rod technique to reverse anterior subluxation of the talus during the correction of equinocavovarus deformity with the Ilizarov fixator","volume":"25","author":"Bai L\u2010B","year":"2020","journal-title":"J Orthop Transl"},{"key":"e_1_2_12_4_1","first-page":"89","article-title":"Correction of the neglected clubfoot by the Ilizarov method","volume":"301","author":"Huerta F","year":"1994","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-018-0913-z"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.210021"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2023.05.004"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2013.08.012"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2020.02.006"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2021.02.004"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.7547\/17-056"},{"key":"e_1_2_12_12_1","first-page":"3","article-title":"The classic. 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