2022-11-06, VURAL Y., EVİN N., KOÇ C., UZER G., SARIKAŞ M., EVİN, NUH, KOÇ, CAN, UZER, GÖKÇER, SARIKAŞ, MURAT

2023-01-01, UÇAN V., DEMİREL M., ALIYEV O., YILDIZ F., UZER G., UÇAN, VAHDET, ALIYEV, ORKHAN, YILDIZ, FATİH, UZER, GÖKÇER

Background: Although tarsal coalition represents the most common cause of peroneal spastic flatfoot, its existence cannot be verified in several cases. In some patients with rigid flatfoot, no cause can be detected after clinical, laboratory, and radiologic examina-tion, and the condition is called idiopathic peroneal spastic flatfoot (IPSF). This study aimed to present our experience with surgical management and outcomes in patients with IPSF.Methods: Seven patients with IPSF, who were operated on between 2016 and 2019, and followed for at least 12 months were included, whereas those with known causes, such as tarsal coalition or other causes (eg, traumatic) were excluded. All patients were followed up for 3 months with botulinum toxin injection and cast immobilization as a routine protocol, and clinical improvement was not achieved. The Evans procedure and grafting with tricortical iliac crest bone graft in five patients and subtalar arthrodesis in two patients were performed. The American Orthopaedic Foot and Ankle Society ankle-hindfoot scale scores and Foot and Ankle Disability Index scores were obtained preoperatively and postoperatively from all patients.Results: On physical examination, all feet manifested rigid pes planus with varying degrees of hindfoot valgus and limited subtalar motion. Overall, the mean American Orthopaedic Foot and Ankle Society and Foot and Ankle Disability Index scores significantly increased from 42 (range, 20-76) and 45 (range, 19-68) preoperatively (P = .018) to 85 (range, 67- 97) and 84 (range, 67-99) (P = .043) at the final follow-up, respectively. No major intraoper-ative or postoperative complications were observed in any of the patients. All computed to-mographic and magnetic resonance imaging scans revealed no evidence of tarsal coalitions in any of the feet. All radiologic workups failed to demonstrate secondary signs of fibrous or cartilaginous coalitions.Conclusions: Operative treatment seems to be a good option in the treatment of patients with IPSF who do not benefit from conservative treatment. In the future, it is recommended to investigate the ideal treatment options for this group of patients. (J Am Podiatr Med Assoc 113(1), 2023)

2015-03-01T00:00:00Z, Elmadağ, M, GÜZEL, Y, UZER, GÖKÇER, ACAR, MA, ELMADAĞ, NUH MEHMET, UZER, GÖKÇER

2024-04-01, EVİN N., VURAL Y., KOÇ C., UZER G., EVİN, NUH, VURAL, YASİR, KOÇ, CAN, UZER, GÖKÇER

Cleft foot is a rare congenital anomaly characterized by a central conical defect and deficiency of the foot rays. Syndactyly is the fusion of the skin with or without the bone of adjacent digits, and it may be associated with syndrome‑related cleft foot. The aim of the treatment of cleft foot and syndactyly is to obtain a normal form and function by closing the cleft defect, obtaining symmetrical and cosmetic feet, allowing patients to wear normal shoes comfortably, and preventing collapse and angulation deformities of the toes. In this study, the treatment of congenital cleft foot and syndactyly coexistence is presented, and it is demonstrated that excess skin after soft‑tissue syndactylization of the cleft foot can be used to reconstruct syndactyly defects.

2023-01-01, İNCESOY M. A., UZER G., ORUJOV S., Geckalan M. A., ŞENARAN H., İNCESOY, MUSTAFA ALPER, UZER, GÖKÇER, ORUJOV, SAİD, ŞENARAN, HAKAN

Tarsal coalitions have only very infrequently been observed in the context of cavus foot abnormalities. Recognizing this diagnosis could be crucial to effective cavus repair. We report tarsal coalitions observed in cavus deformity here. Between 2022 and 2023, the records of every patient treated by one of the authors for a varus deformity who was later determined to have either a unilateral or bilateral tarsal coalition were examined. Two patients with cavus deformities who were treated by one of the authors have either a unilateral or bilateral tarsal coalition. Three foot (medial cuneiform–navicular n = 1 and calcaneonavicular n = 2) with tarsal coalition were examined. All of these cases occurred in patients with idiopathic cavus deformity. Computed tomography scans were used to make a firm diagnosis for each patient. We advise surgeons to keep an awareness for this potential comorbid issue in all cavus foot abnormalities and to take advanced imaging into consideration. In these uncommon cases, the medial cuneiform–navicular and calcaneonavicular joints formed an osseous coalition with pes cavus deformity, which successfully resolved with conservative and surgical treatment, respectively. Level of Clinical Evidence: IV.