{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T22:39:31Z","timestamp":1783463971680,"version":"3.55.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"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":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This work used software-guided radiographic measurement to assess the effects of progressive lateral column lengthening (LCL) on restoring alignment in a novel cadaveric model of stage II-B flatfoot deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A stage II-B flatfoot was created in 8 cadaveric specimens by transecting the spring ligament complex, anterior deltoid, and interosseous talocalcaneal and cervical ligaments. Weightbearing computed tomographic (WBCT) scans were performed with specimens under 450 N of compressive load in the intact, flat, and 6-, 8-, and 10-mm lateral column\u2013lengthening conditions. Custom software-guided radiographic measurements of the lateral talo\u2013first metatarsal (Meary) angle, anteroposterior talo\u2013first metatarsal angle, naviculocuneiform overlap, and 2 new measures (plantar fascia [PF] distance and angle) were recorded on digitally reconstructed radiographs. Four anonymized analysts performed measurements twice. Intra- and interobserver agreement was assessed using intraclass correlation coefficients (ICCs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Six-millimeter LCL restored alignment closest to the intact foot in this new cadaveric model, whereas 10-mm lengthening tended toward overcorrection. The PF line displaced laterally in the flatfoot condition, and LCL restored the PF line to a location beneath the talonavicular joint. Interobserver agreement was excellent for PF distance (ICC = 0.99) and naviculocuboid overlap (ICC = 0.91), good for Meary angle (ICC = 0.81) and PF angle (ICC = 0.69), and acceptable for the talonavicular coverage angle (ICC = 0.65).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this stage II-B cadaveric flatfoot model, cervical ligament transection was essential to create deformity after the medial hindfoot ligaments were transected. Software-guided radiographic measurement proved reliable; standardized implementation should improve comparability between studies of flatfoot deformity. The novel PF distance performed most consistently (ICC = 0.99) and warrants further study. With this model, we found that a 6-mm LCL restored alignment closest to the intact foot, whereas 10-mm lengthening tended toward overcorrection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Future joint-sparing flatfoot corrections may consider using a relatively small LCL combined with other bony and\/or anatomic ligament\/tendon reconstructions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007221091817","type":"journal-article","created":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T02:49:12Z","timestamp":1653446952000},"page":"1099-1109","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The Effect of Progressive Lateral Column Lengthening in a Novel Stage II-B Flatfoot Cadaveric Model Evaluated Using Software-Guided Radiographic Measurements of Foot Alignment"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3054-8424","authenticated-orcid":false,"given":"John E.","family":"Femino","sequence":"first","affiliation":[{"name":"University of Iowa, Iowa City, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Kern","sequence":"additional","affiliation":[{"name":"University of Iowa, Iowa City, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Schumer","sequence":"additional","affiliation":[{"name":"UCHealth Medical Group, Loveland, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Anthony","sequence":"additional","affiliation":[{"name":"University of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam J.","family":"Kruse","sequence":"additional","affiliation":[{"name":"Brooke Army Medical Center, Fort Sam Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7197-5978","authenticated-orcid":false,"given":"Jessica","family":"Goetz","sequence":"additional","affiliation":[{"name":"University of Iowa, Iowa City, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,5,24]]},"reference":[{"key":"bibr1-10711007221091817","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199908000-00010"},{"key":"bibr2-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2014.09.001"},{"key":"bibr3-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713488761"},{"key":"bibr4-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714545628"},{"key":"bibr5-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715571439"},{"key":"bibr6-10711007221091817","doi-asserted-by":"publisher","DOI":"10.3113\/fai.2007.0013"},{"key":"bibr7-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2007.03.003"},{"key":"bibr8-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715596607"},{"key":"bibr9-10711007221091817","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.19.00073"},{"key":"bibr10-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720936603"},{"key":"bibr11-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715574933"},{"key":"bibr12-10711007221091817","doi-asserted-by":"publisher","DOI":"10.3113\/fai.2011.0665"},{"key":"bibr13-10711007221091817","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.H.01057"},{"key":"bibr14-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719835464"},{"key":"bibr15-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.57B3.270"},{"key":"bibr16-10711007221091817","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-194830010-00013"},{"key":"bibr17-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1097\/00132587-200306000-00003"},{"key":"bibr18-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902001002"},{"key":"bibr19-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198902000-00022"},{"key":"bibr20-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1097\/btf.0000000000000233"},{"key":"bibr21-10711007221091817","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.I.01150"},{"key":"bibr22-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720929004"},{"key":"bibr23-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720950722"},{"key":"bibr24-10711007221091817","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.K.01032"},{"key":"bibr25-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713483099"},{"key":"bibr26-10711007221091817","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400305"},{"key":"bibr27-10711007221091817","unstructured":"Sarrafian 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