{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T06:34:05Z","timestamp":1764311645201,"version":"3.46.0"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>It has been suggested that an accessory anterolateral talar facet (AALTF) is likely to produce accessory talar facet impingement (ATFI), resulting in sinus tarsi pain in patients with progressive collapse foot deformity. However, the appropriate strategy for AALTF is not well documented. The aim of this study is to evaluate the relationship between the ATFI and AALTF in patients with progressive collapse foot deformity and elucidate the optimal treatment approach for AALTF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventy patients with progressive collapse foot deformity who underwent surgery between March 2014 and October 2024 were included and split into two groups: the AALTF resection group (AALTF resection alongside concomitant flatfoot procedures) and the traditional group (only flatfoot procedures were performed). All patients underwent radiographic evaluation and completed Foot Functional Index (FFI), American Orthopedic Foot and Ankle Society (AOFAS), and Foot and Ankle Ability Measure-Sports Subscale (FAAM-SS) assessments preoperatively and again at follow-up within 24 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The AALTF resection group showed significant improvements in clinical outcome measures compared to the traditional treatment group. The AALTF resection group demonstrated higher FFI scores (preoperative mean: 41.2\u2009\u00b1\u200911.4, postoperative mean: 9.3\u2009\u00b1\u200910.6) compared to the traditional group (preoperative mean: 42.1\u2009\u00b1\u200910.7, postoperative mean: 16.6\u2009\u00b1\u20094.5;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). The AALTF resection group also demonstrated higher AOFAS scores (preoperative mean: 67.3\u2009\u00b1\u200914.7, postoperative mean: 92.7\u2009\u00b1\u20098.6) compared to the traditional group (preoperative mean: 68.2\u2009\u00b1\u200913.8, postoperative mean: 81.5\u2009\u00b1\u20099.1;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). FAAM-SS scores were higher in the AALTF resection group (preoperative mean: 39.6\u2009\u00b1\u200911.6, postoperative mean: 90.6\u2009\u00b1\u200911.3) than in the traditional group (preoperative mean: 44.7\u2009\u00b1\u200912.3, postoperative mean: 80.9\u2009\u00b1\u20095.1;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Ankle joint ROM improved more markedly in the AALTF resection group at final follow-up (preoperative mean: 7.3\u00b0\u2009\u00b1\u20092.1\u00b0 to postoperative mean: 19.6\u00b0\u2009\u00b1\u20093.8\u00b0) than in the traditional group (preoperative mean: 8.7\u00b0\u2009\u00b1\u20091.6\u00b0 to postoperative mean: 14.1\u00b0\u2009\u00b1\u20092.2\u00b0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). There were no significant differences in radiological outcomes between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Addressing AALTF in a symptomatic flatfoot is fundamental. A careful preoperative assessment, consisting of traumatic history investigation, deliberate physical examination, and standard radiographic evaluation (especially CT and MRI scan), can help determine the most appropriate strategy for this kind of morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1669680","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T06:30:07Z","timestamp":1764311407000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical significance of personalized excision of AALTF in progressive collapse foot deformity: a retrospective cohort study"],"prefix":"10.3389","volume":"12","author":[{"given":"Shangyi","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xun","family":"Shu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huarui","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tongzhu","family":"Bao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Ye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kangquan","family":"Shou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1472471","DOI":"10.1155\/2019\/1472471","article-title":"Medial cuneiform opening wedge osteotomy for correction of flexible flatfoot deformity: trabecular titanium vs. bone allograft wedges","volume":"2019","author":"Romeo","year":"2019","journal-title":"Biomed Res Int"},{"key":"B2","first-page":"74","article-title":"A study of the astragalus","volume":"39","author":"Sewell","year":"1904","journal-title":"J Anat Physiol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1177\/10711007211002115","article-title":"Accessory talar facet impingement and sinus tarsi pain associated with accessory anterolateral talar facet","volume":"42","author":"Park","year":"2021","journal-title":"Foot Ankle Int"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1006","DOI":"10.1177\/1071100714540891","article-title":"Accessory talar facet impingement in pathologic conditions of the peritalar region in adults","volume":"35","author":"Niki","year":"2014","journal-title":"Foot Ankle Int"},{"key":"B5","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1053\/j.jfas.2018.08.030","article-title":"Occurrence of lateral ankle ligament disease with stage 2 to 3 adult-acquired flatfoot deformity confirmed via magnetic resonance imaging: a retrospective study","volume":"58","author":"Persaud","year":"2019","journal-title":"J Foot Ankle Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1007\/s00167-010-1149-6","article-title":"Endoscopic treatment of calcaneo-fibular impingement","volume":"19","author":"Bauer","year":"2011","journal-title":"Knee Surg Sport Traumatol Arthrosc"},{"key":"B7","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1186\/s12891-023-06824-w","article-title":"Modified hindfoot alignment radiological evaluation and application in the assessment of flatfoot","volume":"24","author":"Liang","year":"2023","journal-title":"BMC Musculoskel Dis"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1007\/s00264-021-05033-1","article-title":"Long-term follow-up of Bologna-Oxford (BOX) total ankle arthroplasty","volume":"45","author":"Bianchi","year":"2021","journal-title":"Int Orthop"},{"key":"B9","doi-asserted-by":"publisher","first-page":"245","DOI":"10.52312\/jdrs.2022.496","article-title":"Treatment of calcaneonavicular coalition accompanied by an accessory anterolateral talar facet","volume":"33","author":"\u00d6zdemir","year":"2022","journal-title":"Joint Dis Relat Surg"},{"key":"B10","first-page":"1","article-title":"Accessory anterolateral talar facet as an etiology of painful talocalcaneal impingement in the rigid flatfoot: a new diagnosis","volume":"28","author":"Martus","year":"2008","journal-title":"Iowa Orthop J"},{"key":"B11","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1016\/j.aott.2016.03.008","article-title":"Posterior ankle impingement syndrome in football players: case series of 26 elite athletes","volume":"50","author":"Kudas","year":"2016","journal-title":"Acta Orthop Traumato"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1263","DOI":"10.1016\/j.arthro.2013.01.029","article-title":"Surgical treatment for posterior ankle impingement","volume":"29","author":"Zwiers","year":"2013","journal-title":"Arthroscopy"},{"key":"B13","doi-asserted-by":"publisher","first-page":"199","DOI":"10.3113\/FAI.2008.0199","article-title":"Weightbearing CT scan of severe flexible pes planus deformities","volume":"29","author":"Ferri","year":"2008","journal-title":"Foot Ankle Int"},{"key":"B14","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1007\/s00256-019-03293-y","article-title":"Accessory anterolateral talar facet associated with tarsal coalition: prevalence and cross-sectional characterization","volume":"49","author":"Alqahtani","year":"2020","journal-title":"Skeletal Radiol"},{"key":"B15","doi-asserted-by":"publisher","first-page":"e413","DOI":"10.1016\/j.eats.2016.01.019","article-title":"Arthroscopic debridement of pediatric accessory anterolateral talar facet causing impingement","volume":"5","author":"Neumann","year":"2016","journal-title":"Arthrosc Tec"},{"key":"B16","doi-asserted-by":"publisher","first-page":"1163","DOI":"10.1177\/107110070602701229","article-title":"Current concepts review: tarsal coalition","volume":"27","author":"Lemley","year":"2006","journal-title":"Foot Ankle Int"},{"key":"B17","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1016\/j.fcl.2012.03.004","article-title":"Tarsal coalitions in the adult population: does treatment differ from the adolescent?","volume":"17","author":"Thorpe","year":"2012","journal-title":"Foot Ankle Clin"},{"key":"B18","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1016\/j.jor.2017.07.013","article-title":"Lateral column lengthening for adolescent idiopathic pes planovalgus deformity\u2014systematic review","volume":"14","author":"Kumar","year":"2017","journal-title":"J Orthop"},{"key":"B19","doi-asserted-by":"publisher","first-page":"e20151230","DOI":"10.1542\/peds.2015-1230","article-title":"Pediatric pes planus: a state-of-the-art review","volume":"137","author":"Carr","year":"2016","journal-title":"Pediatrics"},{"key":"B20","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1053\/j.jfas.2010.02.003","article-title":"A review of tarsal coalition and pes planovalgus: clinical examination, diagnostic imaging, and surgical planning","volume":"49","author":"Cass","year":"2010","journal-title":"J Foot Ankle Surg"},{"key":"B21","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1186\/s12891-020-03213-5","article-title":"Operative versus nonoperative treatment in children with painful rigid flatfoot and talocalcaneal coalition","volume":"21","author":"Di Gennaro","year":"2020","journal-title":"BMC Musculoskel Dis"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1669680\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T06:30:08Z","timestamp":1764311408000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1669680\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,28]]},"references-count":21,"alternative-id":["10.3389\/fsurg.2025.1669680"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1669680","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,28]]},"article-number":"1669680"}}