Document Detail


Effect of supramalleolar varus and valgus deformities on the tibiotalar joint: a cadaveric study.
MedLine Citation:
PMID:  21733424     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Distal tibia coronal plane malalignment predisposes the ankle joint to asymmetric load. The purpose of this cadaveric study was to quantify changes in pressure and force transfer in an ankle with a supramalleolar deformity.
MATERIALS AND METHODS: Seventeen cadaveric lower legs were loaded with 700 N after creating supramalleolar varus and valgus deformities. The fibula was left intact in 11 specimens and osteotomized in six. Tekscan© sensors were used to measure the tibiotalar pressure characteristics.
RESULTS: In isolated supramalleolar deformity, the center of force and peak pressure moved in an anteromedial direction for valgus and posterolateral direction for varus deformities. The change was in an anteromedial direction for varus and in a posterolateral direction for valgus deformities in specimens with an osteotomized fibula.
CONCLUSION: Two essentially different groups of varus and valgus deformities of the ankle joint need to be distinguished. The first group is an isolated frontal plane deformity and the second group is a frontal plane deformity with associated incongruency of the ankle mortise.
CLINICAL RELEVANCE: Our findings underline the complexity of asymmetric osteoarthritis of the ankle joint. In addition, results from this study provide useful information for future basic research on coronal plane deformity of the hindfoot and for determining appropriate surgical approaches.
Authors:
Rohan A Habbu; Robert S Marsh; John G Anderson; Donald R Bohay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society     Volume:  32     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-07-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  609-15     Citation Subset:  IM    
Affiliation:
Grand Rapids, MI.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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