Foot & Ankle Orthopaedics | |
Medial Soft-tissue Release for a Lateralising Calcaneal Osteotomy: a Cadaveric Study | |
KalpeshShah1  | |
关键词: Osteotomy; calcaneal; lateral; abductor hallucis; plantar fascia; | |
DOI : 10.1177/2473011417S000365 | |
学科分类:医学(综合) | |
来源: Sage Journals | |
【 摘 要 】
Category:HindfootIntroduction/Purpose:Lateralising calcaneal osteotomy (LCO) for pes cavus is generally regarded to be harder to shift than a medialising calcaneal osteotomy for pes planus. Whilst this may be due to tight tissues as in pes cavus, no attempt has been made to define a particular structure that could limit the lateral shift in a LCO. Some surgeons recommend releasing the flexor retinaculum routinely with a LCO to avoid a tarsal tunnel syndrome, suggesting that perhaps it is the flexor retinaculum that is the main restrictor to the lateral shift in a LCO. The purpose of our study was to define the structures that restrain the lateral shift in a calcaneal osteotomy in a cadaveric study.Methods:Calcaneal osteotomies were carried out by a single orthopaedic surgeon on 10 embalmed, below-knee cadavers. LCOs were performed using standard lateral approach and the lateral calcaneal shift was measured before and after the release of flexor retinaculum in 4 cadavers. Further exploratory dissection aro...
【 授权许可】
CC BY
【 预 览 】
Files | Size | Format | View |
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RO201904025289275ZK.pdf | 195KB | download |