Effect of the foot on the mechanical alignment of the lower limbs

被引:50
作者
Guichet, JM
Javed, A
Russell, J
Saleh, M
机构
[1] Medipole Gentilly St Jacques, F-54320 Maxeville, Nancy, France
[2] Univ Sheffield, Childrens Hosp, Pediat Limb Reconstruct Serv, Orthopaed & Trauma Res Grp, Sheffield, S Yorkshire, England
[3] Blackpool Victoria Hosp, Dept Orthopaed, Blackpool, England
[4] Univ Sheffield, Corp Informat Serv, Sheffield, S Yorkshire, England
[5] Univ Sheffield, Comp Serv, Sheffield, S Yorkshire, England
关键词
D O I
10.1097/01.blo.0000092973.12414.ec
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The authors evaluated the effect of the foot on the loading axis of the lower limb measured from radiographs in 30 pediatric patients. Deviation at the knee was calculated for the hip-ankle (traditional) and the hip-foot lines (heel lined up with a metal wire). A trigonometric model of the limb loading axis was developed with predicted mechanical axis deviations at the knee. Statistics were based on the methods of Bland and Altman. Mechanical axis deviation at the knee in the frontal plane varies with foot height, foot-tibial angle, and genu valgum. The predicted trigonometric model was found to be in agreement with measured radiographic values. Including the foot in the radiographic measurement of limb alignment may increase validity of surgical planning for correction of malalignment and for evaluation of degenerative arthritis risk at the knee level.
引用
收藏
页码:193 / 201
页数:9
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