Subtalar and Naviculocuneiform Fusion for Extended Breakdown of the Medial Arch

被引:27
作者
Barg, Alexej [1 ,2 ]
Brunner, Samuel [1 ]
Zwicky, Lukas [1 ]
Hintermann, Beat [3 ]
机构
[1] Kantonsspital Liestal, Clin Orthopaed Surg, CH-4410 Liestal, Switzerland
[2] Univ Orthopaed Ctr, Harold K Dunn Orthopaed Res Lab, Salt Lake City, UT 84108 USA
[3] Kantonsspital Liestal, Clin Orthopaed & Trauma Surg, CH-4410 Liestal, Switzerland
关键词
Adult flatfoot deformity; Breakdown of medial arch; Miller procedure; Combined subtalar and naviculocuneiform fusion; Medial column procedures in flatfoot deformity; TRIPLE ARTHRODESIS; TALONAVICULAR ARTHRODESIS; FLAT-FOOT; HINDFOOT ARTHRODESIS; ACQUIRED FLATFOOT; FOLLOW-UP; DEFORMITY; DISEASE; ADULTS;
D O I
10.1016/j.fcl.2010.11.004
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
100224 [整形外科学];
摘要
Combined ST and NC fusion was successful in restoring the longitudinal medial arch after extended breakdown while preserving the TN joint. This surgical technique was shown to give a reliable fusion and biomechanically stable position of the foot. Although not exactly quantified, we strongly believe that motion at the Chopart joint, which is preserved because of limited fusion in contrast to triple fusion, may be beneficial at long term because it allows better contact force adaptation during gait. The more physiologic absorption and transfer of forces during walking and standing may also preserve the TMT joints from consecutive overloading and development of degenerative changes and destabilization.
引用
收藏
页码:69 / 81
页数:13
相关论文
共 56 条
[1]
TRIPLE ARTHRODESIS - A CRITICAL LONG-TERM REVIEW [J].
ANGUS, PD ;
COWELL, HR .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1986, 68 (02) :260-265
[2]
Motion of the hindfoot after simulated arthrodesis [J].
Astion, DJ ;
Deland, JT ;
Otis, JC ;
Kenneally, S .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1997, 79A (02) :241-246
[3]
Beals T C, 1999, J Am Acad Orthop Surg, V7, P112
[4]
Butte FL, 1937, J BONE JOINT SURG, V19, P496
[5]
CALDWELL G D, 1953, Clin Orthop, V2, P221
[6]
A Review of 51 Talonavicular Joint Arthrodeses for Flexible Pes Valgus Deformity [J].
Camasta, Craig A. ;
Menke, Christopher R. D. ;
Hall, Patrick B. .
JOURNAL OF FOOT & ANKLE SURGERY, 2010, 49 (02) :113-118
[7]
Radiologic signs of unilateral pes planus [J].
Chadha, H ;
Pomeroy, G ;
Manoli, A .
FOOT & ANKLE INTERNATIONAL, 1997, 18 (09) :603-604
[8]
Chahal D, 2006, J ORTHOP TRAUMA, V20, P555
[9]
Chi TD, 1999, CLIN ORTHOP RELAT R, P81
[10]
Churchill R S, 1998, Am J Orthop (Belle Mead NJ), V27, P339