naa a22 4500 510760201 CHVBK 20180411083136.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s11420-012-9317-5 doi (NATIONALLICENCE)springer-10.1007/s11420-012-9317-5 Autograft and Allograft Unite Similarly in Lateral Column Lengthening for Adult Acquired Flatfoot Deformity [Elektronische Daten] [J. Vosseller, Scott Ellis, Martin O'Malley, Andrew Elliott, David Levine, Jonathan Deland, Matthew Roberts] Background: Lateral column lengthening (LCL) is used to address the forefoot abduction associated with the adult acquired flatfoot. This opening wedge osteotomy can be filled with either allograft or autograft bone. Questions/Purposes: The investigators sought to determine union rates and any loss of correction in patients undergoing LCL with autograft versus allograft. Methods: Over a 3-year period, 126 LCLs performed by five surgeons in 120 patients were reviewed. Autograft was used in 51 patients, allograft in 75 patients. Times to clinical and radiographic union were established for these patients. Any loss of correction of forefoot abduction as manifested by talonavicular uncoverage was recorded for those grafts that healed. Failure was defined as nonunion or loss of 50% or greater correction. The size of the implanted graft was assessed as a risk factor for failure. Results: There were 20 total failures: seven in patients with autograft and 13 in patients with allograft (p = 0.63). The size of the implanted graft was larger in those patients that did fail (p = 0.04). Conclusions: The rate of nonunion and loss of correction for LCL was not significantly different between allograft and autograft. The overall rate of nonunion may be higher than has previously been reported. Hospital for Special Surgery, 2013 lateral column lengthening nationallicence adult acquired flatfoot deformity nationallicence posterior tibial tendon nationallicence insufficiency/dysfunction nationallicence nonunion nationallicence loss of correction nationallicence Vosseller J. Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Ellis Scott Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut O'Malley Martin Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Elliott Andrew Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Levine David Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Deland Jonathan Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Roberts Matthew Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut HSS Journal ® Springer-Verlag 9/1(2013-02-01), 6-11 1556-3316 9:1<6 2013 9 11420 https://doi.org/10.1007/s11420-012-9317-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11420-012-9317-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vosseller J. Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Ellis Scott Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- O'Malley Martin Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Elliott Andrew Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Levine David Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Deland Jonathan Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Roberts Matthew Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 773 0- HSS Journal ® Springer-Verlag 9/1(2013-02-01), 6-11 1556-3316 9:1<6 2013 9 11420 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer