AAFD: Conventional Radiographs are not Enough! I Need the Third Dimension

被引：7

作者：

Bernasconi, Alessio ^{[1
,2
]}

Netto, Cesar de Cesar ^{[3
]}

Barg, Alexej ^{[4
]}

Burssens, Arne ^{[4
]}

Richter, Martinus ^{[5
]}

Lintz, Francois ^{[6
]}

机构：

[1] Royal Natl Orthopaed Hosp, Foot & Ankle Unit, Stanmore, Middx, England

[2] Federico II Naples Univ, Orthopaed & Traumatol Unit, Dept Publ Hlth, Naples, Italy

[3] Medstar Union Mem Hosp, Dept Orthopaed Surg, Baltimore, MD USA

[4] Univ Utah, Dept Orthopaed, Salt Lake City, UT USA

[5] Dept Foot & Ankle Surg Nuremberg & Rummelsberg, Schwarzenbruck, Germany

[6] Ankle & Foot Surg Ctr, Clin Union, Blvd Ratalens, F-31240 St Jean, France

来源：

TECHNIQUES IN FOOT AND ANKLE SURGERY | 2019年 / 18卷 / 03期

关键词：

adult acquired flatfoot; pes planovalgus; weight-bearing CT; cone beam; 3D biometrics; WEIGHTBEARING COMPUTED-TOMOGRAPHY; SUBTALAR JOINT ALIGNMENT; HINDFOOT ALIGNMENT; PERITALAR SUBLUXATION; WEIGHT-BEARING; LOAD RESPONSE; CT-SCAN; DEFORMITY; FLATFOOT; TALOCALCANEAL;

D O I：

10.1097/BTF.0000000000000234

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：

There is an increasing amount of literature suggesting that 3-dimensional (3D) weight-bearing computed tomography (WBCT) imaging overcomes the inherent limits of traditional bidimensional imaging in foot and ankle surgery. This seems to have a significant impact on the study and on the clinical management of adult acquired flatfooot deformity (AAFD) that by definition is a 3D complex deformity. In this study, we reviewed the recent literature about the use of WBCT in AAFD, starting from a critical analysis about the biases related to conventional radiography and to non-standing CT. Then, we focused on the effects of load on the 3D architecture of the foot and ankle in AAFD. Finally, we discussed the benefits and future perspectives for the use of WBCT in the management of this condition and as a surgical planning tool as well.

引用

页码：109 / 115

页数：7

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