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Titre : | Spare the Talonavicular Joint! The Role of Isolated Subtalar Joint Fusion in the Treatment of Progressive Collapsing Foot Deformity (2021) |
Auteurs : | Matthew S. Conti ; Scott J. Ellis |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 26, n°3, September 2021) |
Article en page(s) : | p. 591-607 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Articulation subtalaire ; Ligament deltoïde ; Pied ; Pied plat ; Tendon calcanéen ; Tibia |
Mots-clés: | Progressive collapsing foot deformity |
Résumé : |
Arthrodesis of the talonavicular joint has been shown in cadaveric models to lead to very little residual motion at the subtalar and calcaneocuboid joints and, consequently, may accelerate adjacent-joint arthrosis.
Subtalar arthrodesis may be combined with reconstructive procedures, such as a medializing calcaneal osteotomy, first tarsometatarsal fusion, Cotton osteotomy, and/or soft tissue procedures to address the midfoot abduction and hindfoot valgus deformities in a patient with a severe flexible or rigid progressive collapsing foot deformities. Preoperative weight-bearing computed tomography scans may guide surgical management, and patients with sinus tarsi and subfibular impingement deformities may benefit from a subtalar fusion in addition to traditional reconstructive procedures. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751521000607 |