The purpose of this study was to quantify the effect of selective arthrodesis (stabilization) of the ankle, subtalar, and talonavicular joints on the rotational movement of the tibia and the calcaneus occurring with dorsiflexion/plantarflexion. Six cadaver foot-leg specimens were investigated using an unconstrained testing apparatus. Simulated ankle joint arthrodesis caused a large increase in tibial rotation and calcaneal eversion-inversion. Subtalar and talonavicular stabilization did not cause as large a rotation.
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References
1.
. BarrJ.S.RecordE.E.: Arthrodesis of the ankle joint: indications, operative technique and clinical experience. N. Engl. J. Med., 258: 53–60, 1953
2.
. FjermerosH.HagenR.: Post-traumatic arthrosis in the ankle and foot treated with arthrodesis. Acta Chir. Scand., 133: 527–534, 1967
3.
. GellmannH.LenihanM.HalikisN.BotteJ.M.GiordaniM.PerryJ.: Selective tarsal arthrodesis: an in vitro analysis of the effect on foot motion. Foot Ankle, 8: 127–133, 1987
4.
. HeftiF.: Die Stellung des Fusses bei Arthrodesen des oberen Sprunggelenkes. In:Bücherei des Orthopäden. OttoP. (ed.), Stuttgart, Enke Verlag, 1981, p. 17–67
5.
. HicksJ.H.: The mechanics of the foot. I. The joints. J. Anat., 87: 345–357, 1953
6.
. HintermannB.NiggB.M.: In vitro kinematics of the axially loaded ankle complex in response to dorsiflexion and plantarflexion. Foot Ankle Int, 16: 514–516, 1995
7.
. HintermannB.NiggB.M.ColeG.K.SommerC.: A method to determine the movement transfer between calcaneus and tibia, and the relation between tendon and foot movement, in vitro. Submitted for publication
8.
. HintermannB.NiggB.M.ColeG.K.: The influence of selective arthrodesis on movement transfer between calcaneus and tibia in vitro. Clin. Biomech., 9: 356–361, 1994
9.
. HintermannB.NiggB.M.ColeG.K.SommerC.: The transfer of movement between tibia and calcaneus. Clin. Biomech., 9: 349–355, 1994
10.
. InmanV.T.: The Joints of the Ankle. Baltimore, Williams & Wilkins, 1976
11.
. JacksonA.GlasgowM.: Tarsal hypermobility after ankle fusion—fact or fiction?J. Bone Joint Surg., 61B: 470–473, 1979
12.
. LundbergA.: Kinematics of the ankle and foot. In vivo roentgen stereophotogrammetry. Acta Orthop. Scand. Suppl., 233: 1–24, 1989
13.
. MazurJ.SchartzE.SimonS.: Ankle arthrodesis. Long-term follow-up with gait analysis. J. Bone Joint Surg., 61A: 964–975, 1979
14.
. OuzounianT.J.ShereffM.J.: In vitro determination of midfoot motion. Foot Ankle, 10: 141–146, 1989
15.
. StaufferR.N.ChaoE.Y.BrewsterR.C.: Force and motion analysis of the normal, diseased, and prosthetic ankle joint. Clin. Orthop., 127: 189–196, 1977
16.
. ThomasF.B.: Arthrodesis of the subtalar joint. J. Bone Joint Surg., 49B: 93–98, 1967
