The Effect of the Lapidus Arthrodesis on the Medial Longitudinal Arch: A Radiographic Review

被引：19

作者：

Avino, Attilio ^{[1
]}

Patel, Sandeep ^{[2
]}

Hamilton, Graham A. ^{[2
]}

Ford, Lawrence A. ^{[1
]}

机构：

[1] Kaiser Permanente Med Ctr, Dept Orthoped & Podiatr Surg, San Francisco Bay Area Foot & Ankle Residency Pro, Oakland, CA USA

[2] Kaiser Permanente Med Ctr, Dept Orthoped & Podiatr Surg, San Francisco Bay Area Foot & Ankle Residency Pro, Walnut Creek, CA USA

来源：

JOURNAL OF FOOT & ANKLE SURGERY | 2008年 / 47卷 / 06期

关键词：

Lapidus arthrodesis; medial longitudinal arch; metatarsocuneiform joint; talo-first metatarsal angle;

D O I：

10.1053/j.jfas.2008.06.008

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：

We reviewed the medical records and radiographs of 35 patients (3 males, 32 females; mean age 40.8 years) who underwent isolated, modified Lapidus arthrodesis for forefoot pathology in 39 feet. The purpose of the review was to evaluate the structural radiographic changes of the medial longitudinal arch (MLA) following isolated arthrodesis of the first tarsometatarsal joint. Pre- and postoperative standardized measurements of sagittal plane views of the foot were assessed to examine change in the MLA construct, The talo-first metatarsal angle and medial cuneiform height both had statistically significant changes, 2.97 degrees (range, 0-11.5 degrees) and 3.44 mm (range, 0-13 mm) (P < .0001) respectively. Our findings suggest that the Lapidus arthrodesis may influence the medial longitudinal arch. Level of Clinical Evidence: 2 (The Journal of Foot & Ankle Surgery 47(6):510-514, 2008)

引用

页码：510 / 514

页数：5

共 21 条

[1] Modified Lapidus procedure for the treatment of hypermobile hallux valgus [J].