Evans Osteotomy and Risk to Subtalar Joint Articular Facets and Sustentaculum Tali: A Cadaver Study

被引:19
作者
Bussewitz, Bradly W. [1 ]
DeVries, J. George [2 ]
Hyer, Christopher F. [3 ]
机构
[1] Profess Foot & Ankle, Iowa City, IA USA
[2] Excel Orthoped, Beaver Dam, WI USA
[3] Orthoped Foot & Ankle Ctr, Westerville, OH 43802 USA
关键词
arch height; calcaneus; complication; medial column; pes planovalgus; surgery; talus; VALGUS DEFORMITY; FLATFOOT; HINDFOOT; FOOT;
D O I
10.1053/j.jfas.2013.03.006
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
The Evans lateral column lengthening procedure allows correction of abduction, improved talar head coverage, decreased forefoot and rearfoot valgus, and improvement of medial column arch height. However, identifying the structures at risk when performing this osteotomy has proved difficult in vivo. Using 10 cadaveric lower limbs, we performed the Evans calcaneal osteotomy and determined whether violation of the calcaneal facets and the sustentaculum tali occurred. Based on our findings, we recommend directing the osteotomy from posterolateral to anteromedial. (C) 2013 by the American College of Foot and Ankle Surgeons. All rights reserved.
引用
收藏
页码:594 / 597
页数:4
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