Calcaneocuboid distraction arthrodesis for posterior tibial tendon dysfunction and flatfoot

A cadaveric study

Harold B. Kitaoka, Hideji Kura, Zong Ping Luo, Kai Nan An

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Nine fresh-frozen foot specimens were studied to determine the mechanical behavior of the foot using calcaneocuboid distraction arthrodesis, an operation designed for treatment of posterior tibial tendon dysfunction with flatfoot deformity. Flatfoot deformity was created in cadaveric specimens, and to simulate toe-off phase of gait, loads were applied to the plantar surface of the foot and six tendons. Three-dimensional tarsal bone positions were determined with a magnetic tracking system. With ligament sectioning, flatfoot deformity was observed and average arch height decreased 5.3 ± 3.5 mm. Height arch increased after calcaneocuboid distraction arthrodesis an average of 3.2 ± 3.6 mm and was less than normal arch at an average of 2.1 ± 2.4 mm. Metatarsotalar alignment compared with flatfoot improved after calcaneocuboid distraction arthrodesis in adduction and inversion to the extent that these were not significantly different from intact foot positions. Calcaneotalar position improved after calcaneocuboid distraction arthrodesis in adduction and inversion. Calcaneocuboid alignment compared with flatfoot improved after calcaneocuboid distraction arthrodesis in adduction, plantar flexion, and eversion, but compared with an intact foot was overcorrected in all three planes of motion. Arch alignment in simulated toe-off phase of gait in cadaveric feet was improved significantly with calcaneocuboid distraction arthrodesis but was not reduced anatomically.

Original languageEnglish (US)
Pages (from-to)241-247
Number of pages7
JournalClinical Orthopaedics and Related Research
Issue number381
StatePublished - 2000

Fingerprint

Posterior Tibial Tendon Dysfunction
Flatfoot
Arthrodesis
Foot
Toes
Gait
Tarsal Bones
Ligaments
Tendons

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Calcaneocuboid distraction arthrodesis for posterior tibial tendon dysfunction and flatfoot : A cadaveric study. / Kitaoka, Harold B.; Kura, Hideji; Luo, Zong Ping; An, Kai Nan.

In: Clinical Orthopaedics and Related Research, No. 381, 2000, p. 241-247.

Research output: Contribution to journalArticle

Kitaoka, Harold B. ; Kura, Hideji ; Luo, Zong Ping ; An, Kai Nan. / Calcaneocuboid distraction arthrodesis for posterior tibial tendon dysfunction and flatfoot : A cadaveric study. In: Clinical Orthopaedics and Related Research. 2000 ; No. 381. pp. 241-247.
@article{3c78d860f8b845ea930c04e743041859,
title = "Calcaneocuboid distraction arthrodesis for posterior tibial tendon dysfunction and flatfoot: A cadaveric study",
abstract = "Nine fresh-frozen foot specimens were studied to determine the mechanical behavior of the foot using calcaneocuboid distraction arthrodesis, an operation designed for treatment of posterior tibial tendon dysfunction with flatfoot deformity. Flatfoot deformity was created in cadaveric specimens, and to simulate toe-off phase of gait, loads were applied to the plantar surface of the foot and six tendons. Three-dimensional tarsal bone positions were determined with a magnetic tracking system. With ligament sectioning, flatfoot deformity was observed and average arch height decreased 5.3 ± 3.5 mm. Height arch increased after calcaneocuboid distraction arthrodesis an average of 3.2 ± 3.6 mm and was less than normal arch at an average of 2.1 ± 2.4 mm. Metatarsotalar alignment compared with flatfoot improved after calcaneocuboid distraction arthrodesis in adduction and inversion to the extent that these were not significantly different from intact foot positions. Calcaneotalar position improved after calcaneocuboid distraction arthrodesis in adduction and inversion. Calcaneocuboid alignment compared with flatfoot improved after calcaneocuboid distraction arthrodesis in adduction, plantar flexion, and eversion, but compared with an intact foot was overcorrected in all three planes of motion. Arch alignment in simulated toe-off phase of gait in cadaveric feet was improved significantly with calcaneocuboid distraction arthrodesis but was not reduced anatomically.",
author = "Kitaoka, {Harold B.} and Hideji Kura and Luo, {Zong Ping} and An, {Kai Nan}",
year = "2000",
language = "English (US)",
pages = "241--247",
journal = "Clinical Orthopaedics and Related Research",
issn = "0009-921X",
publisher = "Springer New York",
number = "381",

}

TY - JOUR

T1 - Calcaneocuboid distraction arthrodesis for posterior tibial tendon dysfunction and flatfoot

T2 - A cadaveric study

AU - Kitaoka, Harold B.

AU - Kura, Hideji

AU - Luo, Zong Ping

AU - An, Kai Nan

PY - 2000

Y1 - 2000

N2 - Nine fresh-frozen foot specimens were studied to determine the mechanical behavior of the foot using calcaneocuboid distraction arthrodesis, an operation designed for treatment of posterior tibial tendon dysfunction with flatfoot deformity. Flatfoot deformity was created in cadaveric specimens, and to simulate toe-off phase of gait, loads were applied to the plantar surface of the foot and six tendons. Three-dimensional tarsal bone positions were determined with a magnetic tracking system. With ligament sectioning, flatfoot deformity was observed and average arch height decreased 5.3 ± 3.5 mm. Height arch increased after calcaneocuboid distraction arthrodesis an average of 3.2 ± 3.6 mm and was less than normal arch at an average of 2.1 ± 2.4 mm. Metatarsotalar alignment compared with flatfoot improved after calcaneocuboid distraction arthrodesis in adduction and inversion to the extent that these were not significantly different from intact foot positions. Calcaneotalar position improved after calcaneocuboid distraction arthrodesis in adduction and inversion. Calcaneocuboid alignment compared with flatfoot improved after calcaneocuboid distraction arthrodesis in adduction, plantar flexion, and eversion, but compared with an intact foot was overcorrected in all three planes of motion. Arch alignment in simulated toe-off phase of gait in cadaveric feet was improved significantly with calcaneocuboid distraction arthrodesis but was not reduced anatomically.

AB - Nine fresh-frozen foot specimens were studied to determine the mechanical behavior of the foot using calcaneocuboid distraction arthrodesis, an operation designed for treatment of posterior tibial tendon dysfunction with flatfoot deformity. Flatfoot deformity was created in cadaveric specimens, and to simulate toe-off phase of gait, loads were applied to the plantar surface of the foot and six tendons. Three-dimensional tarsal bone positions were determined with a magnetic tracking system. With ligament sectioning, flatfoot deformity was observed and average arch height decreased 5.3 ± 3.5 mm. Height arch increased after calcaneocuboid distraction arthrodesis an average of 3.2 ± 3.6 mm and was less than normal arch at an average of 2.1 ± 2.4 mm. Metatarsotalar alignment compared with flatfoot improved after calcaneocuboid distraction arthrodesis in adduction and inversion to the extent that these were not significantly different from intact foot positions. Calcaneotalar position improved after calcaneocuboid distraction arthrodesis in adduction and inversion. Calcaneocuboid alignment compared with flatfoot improved after calcaneocuboid distraction arthrodesis in adduction, plantar flexion, and eversion, but compared with an intact foot was overcorrected in all three planes of motion. Arch alignment in simulated toe-off phase of gait in cadaveric feet was improved significantly with calcaneocuboid distraction arthrodesis but was not reduced anatomically.

UR - http://www.scopus.com/inward/record.url?scp=0033652616&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033652616&partnerID=8YFLogxK

M3 - Article

SP - 241

EP - 247

JO - Clinical Orthopaedics and Related Research

JF - Clinical Orthopaedics and Related Research

SN - 0009-921X

IS - 381

ER -