LATERAL COLUMN LENGTHENING WITH CALCANEOCUBOID FUSION - RANGE OF MOTION IN THE TRIPLE JOINT COMPLEX

被引：76

作者：

DELAND, JT

OTIS, JC

LEE, KT

KENNEALLY, SM

机构：

[1] HOSP SPECIAL SURG,DEPT BIOMECH,NEW YORK,NY 10021

[2] CORNELL UNIV,NEW YORK HOSP,COLL MED,NEW YORK,NY

来源：

FOOT & ANKLE INTERNATIONAL | 1995年 / 16卷 / 11期

关键词：

D O I：

10.1177/107110079501601111

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：

Lengthening the lateral column of the foot has been shown to correct flatfoot deformity. In adults, however, lengthening leads to calcaneocuboid arthritis. Lateral column lengthening with calcaneocuboid fusion, which lengthens the lateral column of the foot and prevents calcaneocuboid arthritis, was investigated in a cadaver model to determine the remaining range of motion in the talonavicular and subtalar joints. Inversion/eversion motion was produced by tendon pulls and the range of motion was measured in three dimensions using a magnetic space tracker. After lateral column lengthening with calcaneocuboid fusion, 48% of talonavicular and 70% of subtalar joint range of motion were preserved. Analysis of the inversion and eversion ranges of motion suggests that the lengthening fusion limits eversion more than inversion. These findings demonstrate the need for clinical investigation of this procedure, which could preserve motion in the talonavicular and subtalar joints, correct deformity, and obviate calcaneocuboid arthritis.

引用

页码：729 / 733

页数：5

共 9 条

[1]

Evans D., Calcaneovalgus deformity, J. Bone Joint Surg., 57B, pp. 270-278, (1975)

[2]

Fogel G.R., Katoh Y., Rand J.A., Chao Y.S., Talonavicular arthrodesis for isolated arthrosis, 9.5 year results and gait analysis, Foot Ankle, 3, pp. 105-113, (1982)

[3]

Lapidus P.W., Subtalar joint, its anatomy and mechanics, Bull. Hosp. Joint Dis., 16, pp. 179-195, (1955)

[4]

Mann R.A., Subtalar fusion for isolated subtalar disorders, Clin. Orthop., 226, pp. 260-265, (1988)

[5]

Mann R.A., Flatfoot in adults. In, Surgery of the Foot and Ankle, 1, (1993)

[6]

Phillips G.E., A review of elongation of os calcis for flat feet, J. Bone Joint Surg., 65B, pp. 15-18, (1983)

[7]

Sands A., Grujic L., Sangeorzan B., Hansen S.T., Lateral column lengthening through the calcaneo-cuboid joint: an alternative to triple arthrodesis for correction of flatoot, (1995)

[8]

Sangeorzan B.F., Mosca V., Hansen S.T., Effect of calcaneal lengthening on relationships among the hindfoot, midfoot and forefoot, Foot Ankle, 14, pp. 136-141, (1993)

[9]

Wright D.B., Desai S.M., Henderson W.H., Action of the subtalar and ankle-joint complex during the stance phase of walking, J. Bone Joint Surg., 46A, (1964)

← 1 →