Progressive Collapsing Foot Deformity: Consensus on Goals for Operative Correction
Bruce J. Sangeorzan, Beat Hintermann, César de César Netto, Jonathan Day, Jonathan T. Deland, Scott J. Ellis, Jeffrey E. Johnson, Mark S. Myerson, Lew C. Schon, David B. Thordarson
Abstract
RECOMMENDATION: In the treatment of progressive collapsing foot deformity (PCFD), the combination of bone shape, soft tissue failure, and host factors create a complex algorithm that may confound choices for operative treatment. Realignment and balancing are primary goals. There was consensus that preservation of joint motion is preferred when possible. This choice needs to be balanced with the need for performing joint-sacrificing procedures such as fusions to obtain and maintain correction. In addition, a patient's age and health status such as body mass index is important to consider. Although preservation of motion is important, it is secondary to a stable and properly aligned foot. LEVEL OF EVIDENCE: Level V, consensus, expert opinion.