{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T11:32:20Z","timestamp":1779276740945,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,1,14]],"date-time":"2015-01-14T00:00:00Z","timestamp":1421193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>No studies investigating the effect of the midfoot (talonavicular joint) position on clinical outcomes following flatfoot reconstruction have been performed. The purpose of our study was to determine whether a postoperative abducted or adducted forefoot alignment, as determined from anteroposterior (AP) radiographs, was associated with a difference in outcomes using the Foot and Ankle Outcome Score (FAOS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Midfoot abduction was defined on postoperative AP radiographs, evaluated at a mean of 1.9 years in 55 patients from the authors\u2019 institution who underwent flatfoot reconstruction for a stage II adult acquired flatfoot deformity (AAFD), as a lateral incongruency angle greater than 5 degrees, a talonavicular uncoverage angle greater than 8 degrees, and a talo\u2013first metatarsal angle greater than 8 degrees based on previously reported measurements. Patients with 2 or more measurements in the abduction category were classified as the abduction group (n = 30); those with 1 or fewer measurements in the abduction category were placed in the adduction group (n = 25). The preoperative and postoperative FAOS values with a mean follow-up of 3.1 years were compared using Wilcoxon rank-sum tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Patients corrected to a position of adduction showed significantly lower improvement in the FAOS daily activities ( P = .012) and quality of life subscales ( P = .046). The mean improvement in subscale scores for the adducted group was lower for pain ( P = .052) and sports activities ( P = .085) but did not reach statistical significance. No significant difference in the FAOS symptoms subscale ( P = .372) between groups was found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Correction of the talonavicular joint to a position of adduction following a stage II AAFD was associated with decreased patient outcomes in daily activities and quality of life compared with an abducted position. These results suggest that overcorrection to a position of midfoot adduction leads to a lesser amount of individual patient improvement in reconstruction of a stage II AAFD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, comparative series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100714564217","type":"journal-article","created":{"date-parts":[[2015,1,14]],"date-time":"2015-01-14T23:03:55Z","timestamp":1421276635000},"page":"239-247","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":42,"title":["Correlation of Postoperative Midfoot Position With Outcome Following Reconstruction of the Stage II Adult Acquired Flatfoot Deformity"],"prefix":"10.1177","volume":"36","author":[{"given":"Matthew S.","family":"Conti","sequence":"first","affiliation":[{"name":"Hospital for Special Surgery, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy Y.","family":"Chan","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huong T.","family":"Do","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott J.","family":"Ellis","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan T.","family":"Deland","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,1,14]]},"reference":[{"key":"bibr1-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199908000-00011"},{"key":"bibr2-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200101000-00015"},{"key":"bibr3-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801901011"},{"key":"bibr4-1071100714564217","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200807000-00005"},{"key":"bibr5-1071100714564217","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01057"},{"key":"bibr6-1071100714564217","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.1168"},{"key":"bibr7-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.57B3.270"},{"key":"bibr8-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0b013e318183a0df"},{"key":"bibr9-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(03)00008-1"},{"key":"bibr10-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1177\/1071100712465738"},{"key":"bibr11-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713483117"},{"key":"bibr12-1071100714564217","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567040-00009"},{"key":"bibr13-1071100714564217","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199504000-00002"},{"key":"bibr14-1071100714564217","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0940"},{"key":"bibr15-1071100714564217","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01032"},{"key":"bibr16-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400305"},{"key":"bibr17-1071100714564217","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.1143"},{"key":"bibr18-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200205"},{"key":"bibr19-1071100714564217","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199908000-00007"},{"key":"bibr20-1071100714564217","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00258"}],"container-title":["Foot &amp; 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