BIOMECHANICAL EVALUATION OF LONGITUDINAL ARCH STABILITY

被引：212

作者：

HUANG, CK ^{[1
]}

KITAOKA, HB ^{[1
]}

AN, KN ^{[1
]}

CHAO, EYS ^{[1
]}

机构：

[1] MAYO CLIN & MAYO FDN,DEPT ORTHOPED,200 1ST ST SW,ROCHESTER,MN 55905

来源：

FOOT & ANKLE | 1993年 / 14卷 / 06期

关键词：

D O I：

10.1177/107110079301400609

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：

In spite of the common occurrence of pes planus and multiple operations that have been reported to relieve the associated symptoms, there is little published on the relative contribution of various structures to stabilization of the arch of the foot. Twelve fresh-frozen human cadaveric feet were loaded along the tibial axis with compressive loads of 230, 460, and 690 newtons with the specimens intact and after sequential sectioning of plantar fascia, plantar ligaments, and spring ligament. Structures were sectioned in six different sequences and changes in vertical and horizontal dimensions of the medial arch were measured. The highest relative contribution to arch stability was provided by the plantar fascia, followed by plantar ligaments and spring ligament. Plantar fascia was a major factor in maintenance of the medial longitudinal arch. Its division in the cadaveric feet decreased arch stiffness by 25%.

引用

页码：353 / 357

页数：5

共 20 条

[1]

Basmajian J.V., Stecko G., The role of muscles In arch support of the foot: an electromyographic study, J. Bone Joint Surg., 45A, pp. 1184-1190, (1963)

[2]

Baxter D.E., Thigpen C.M., Heel pain—operative results, Foot Ankle, 5, pp. 16-25, (1984)

[3]

Cracchiolo A., Pearson S., Kitaoka H.B., Grace D., Hindfoot arthrodesis in adults utilizing a dowel graft technique, Clin. Orthop., 257, pp. 193-203, (1990)

[4]

Daly P.J., Kitaoka H.B., Chao E.Y.S., Plantar fasciotomy for intractable plantar fasciitis: clinical results and biomechanical evaluation, Foot Ankle, 13, pp. 188-195, (1992)

[5]

Goldner J.L., Keats P.K., Basset F.H., Clippinger F.W., Progressive talipes equinovalgus due to trauma or degeneration of the posterior tibial tendon and medial plantar ligaments, Orthop. Clin. North Am., 5, pp. 39-50, (1974)

[6]

Gould N., Schneider S., Ashikaga T., Epidemiological survey of foot problems in the continental United States: 1978–1979, Foot Ankle, 1, pp. 8-10, (1980)

[7]

Hicks J.H., The mechanics of the foot, II. The plantar aponeurosis and the arch. J. Anat., 88, pp. 25-30, (1954)

[8]

Hollinshead W.H., Anatomy for Surgeons, 3, pp. 835-837, (1982)

[9]

Jahss M.H., Spontaneous rupture of the tibialis posterior tendon: clinical findings, tenographic studies, and a new technique of repair, Foot Ankle, 3, pp. 158-166, (1982)

[10]

Johnson K.A., Tibialis posterior tendon rupture, Clin. Orthop., 177, pp. 140-147, (1983)

← 1 2 →