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Arthrodesen zur Behandlung des rigiden Plattfußes

Arthrodesis for the treatment of rigid flatfoot

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Zusammenfassung

Bei einem rigiden Plattfuß kann eine Korrektur über gelenkerhaltende Eingriffe nicht erzielt werden. Hier besteht die Indikation für eine Arthrodese. Die Wahl der zu verwendenden Arthrodese richtet sich nach dem Ausmaß der Fehlstellung, der Lokalisation der Rigidität und auch nach dem Gesundheitszustand des Patienten. Isolierte Arthrodesen können auch mit Weichteileingriffen kombiniert werden. Funktionell von Vorteil ist es, möglichst viele Gelenke zu erhalten.

Abstract

In the case of a rigid flatfoot deformity, joint-preserving techniques like soft-tissue balancing and osteotomies do not achieve acceptable results. This is the indication for arthrodesis. The selection of the arthrodesis depends on the amount of deformity, localisation of the rigidity and the general health status of the patient. Isolated arthrodesis can be combined with soft-tissue reconstructions. It is functionally advantageous to preserve as many joints as possible

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Abbreviations

FDL:

Flexor-digitorum-longus-Sehne

RAM:

„rearfoot, ankle, midfoot“

Literatur

  1. Johnson KA, Strom DE (1989) Tibialis posterior tendon dysfunction. Clin Orthop Relat Res (239):196–206

  2. Myerson MS (1997) Adult Acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendon. Instr Course Lect 46:393–405

    CAS  Google Scholar 

  3. Bluman EM, Title CI, Myerson MS (2007) Posterior tibial tendon rupture: a refined classification system. Foot Ankle Clin 12:233–49, v

    Article  Google Scholar 

  4. Raikin SM, Winters BS, Daniel JN (2012) The RAM classification: a novel, systematic approach to the adult-acquired flatfoot. Foot Ankle Clin 17:169–181

    Article  Google Scholar 

  5. Ahmad J, Pedowitz D (2012) Management of the rigid arthritic flatfoot in adults: triple arthrodesis. Foot Ankle Clin 17:309–322

    Article  Google Scholar 

  6. Francisco R, Chiodo CP, Wilson MG (2007) Management of the rigid adult acquired flatfoot deformity. Foot Ankle Clin 12:317–27, vii

    Article  Google Scholar 

  7. Ryerson E (1923) Arthrodesing operations on the feet. J Bone Joint Surg Am 5:453–471

    Google Scholar 

  8. Pell RF, Myerson MS, Schon LC (2000) Clinical outcome after primary triple arthrodesis. J Bone Joint Surg Am 82:47–57

    Article  Google Scholar 

  9. Jeng CL, Vora AM, Myerson MS (2005) The medial approach to triple arthrodesis. Indications and technique for management of rigid valgus deformities in high-risk patients. Foot Ankle Clin 10:515–521, vi-vii.

    Article  Google Scholar 

  10. Bono JV, Jacobs RL (1992) Triple arthrodesis through a single lateral approach: a cadaveric experiment. Foot Ankle 13:408–412

    Article  CAS  Google Scholar 

  11. Maskill MP, Loveland JD, Mendicino RW, Saltrick K, Catanzariti AR (2007) Triple arthrodesis for the adult-acquired flatfoot deformity. Clin Podiatr Med Surg 24:765–778, x

    Article  Google Scholar 

  12. Fortin PT (2001) Posterior tibial tendon insufficiency. Isolated fusion of the talonavicular joint. Foot Ankle Clin 6:137–151, vii-viii

    Article  CAS  Google Scholar 

  13. Knupp M, Zwicky L, Lang TH, Rohm J, Hintermann B (2015) Medial approach to the subtalar joint: anatomy, indications, technique tips. Foot Ankle Clin 20:311–318

    Article  Google Scholar 

  14. Knupp M, Schuh R, Stufkens SA, Bolliger L, Hintermann B (2009) Subtalar and talonavicular arthrodesis through a single medial approach for the correction of severe planovalgus deformity. J Bone Joint Surg Br 91:612–615

    Article  CAS  Google Scholar 

  15. Anand P, Nunley JA, DeOrio JK (2013) Single-incision medial approach for double arthrodesis of hindfoot in posterior tibialis tendon dysfunction. Foot Ankle Int 34:338–344

    Article  Google Scholar 

  16. Johnson JE, Cohen BE, DiGiovanni BF, Lamdan R (2000) Subtalar arthrodesis with flexor digitorum longus transfer and spring ligament repair for treatment of posterior tibial tendon insufficiency. Foot Ankle Int 21:722–729

    Article  CAS  Google Scholar 

  17. Kitaoka HB, Patzer GL (1997) Subtalar arthrodesis for posterior tibial tendon dysfunction and pes planus. Clin Orthop (345):187–194

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Authors and Affiliations

  1. Fusszentrum Wien, Alserstr. 43/8d, 1080, Wien, Österreich

    Hans-Jörg Trnka

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  1. Hans-Jörg Trnka
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Correspondence to Hans-Jörg Trnka.

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H.-J. Trnka gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Trnka, HJ. Arthrodesen zur Behandlung des rigiden Plattfußes. Orthopäde 49, 985–990 (2020). https://doi.org/10.1007/s00132-020-03994-6

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  • DOI: https://doi.org/10.1007/s00132-020-03994-6

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