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Influence of Isolated Talonavicular and Subtalar Joint Arthrodesis on Hindfoot Kinematics and Range of Motion During Cadaveric Gait Simulation.
Palma, Joaquin; Kim, Jaeyoung; Hoffman, Jeffrey W; Ellis, Scott J; Deland, Jonathan T; Demetracopoulos, Constantine A; Steineman, Brett D.
Afiliação
  • Palma J; Pontificia Universidad Catolica de Chile, Santiago, Chile.
  • Kim J; Hospital for Special Surgery, New York, NY, USA.
  • Hoffman JW; Hospital for Special Surgery, New York, NY, USA.
  • Ellis SJ; Hospital for Special Surgery, New York, NY, USA.
  • Deland JT; Hospital for Special Surgery, New York, NY, USA.
  • Demetracopoulos CA; Hospital for Special Surgery, New York, NY, USA.
  • Steineman BD; Hospital for Special Surgery, New York, NY, USA.
Foot Ankle Int ; 45(8): 916-920, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38757722
ABSTRACT

BACKGROUND:

Isolated subtalar and talonavicular joint arthrodeses have been associated with adjacent joint arthritis and altered hindfoot kinematics during simplified loading scenarios. However, the effect on kinematics during dynamic activity is unknown. This study assessed changes in subtalar and talonavicular kinematics after isolated talonavicular (TNiso) and subtalar (STiso) arthrodesis, respectively, during stance simulations.

METHODS:

Fourteen midtibia specimens received either a TNiso or STiso arthrodesis, with 7 randomized to each group. A 6-degree-of-freedom robot sequentially simulated the stance phase for the intact and arthrodesis conditions. Bootstrapped bias-corrected 95% CIs of the talonavicular and subtalar joint kinematics were calculated and compared between conditions.

RESULTS:

The TNiso decreased subtalar inversion, adduction, and plantarflexion in late stance (P < .05). The subtalar range of motion in the sagittal and coronal planes decreased by 40% (P = .009) and 46% (P = .002), respectively. No significant changes in talonavicular joint kinematics were observed after isolated subtalar arthrodesis; however, the range of motion was reduced by 61% (P = .007) and 50% (P = .003) in the coronal and axial planes, respectively.

CONCLUSION:

In this model for arthrodesis, changes in subtalar kinematics and motion restriction were observed after isolated talonavicular arthrodesis, and motion restriction was observed after isolated subtalar arthrodesis. Surprisingly, talonavicular kinematics did not appear to change after isolated subtalar arthrodesis. CLINICAL RELEVANCE Both joint fusions substantially decrease the motion of the reciprocal adjacent joint. Surgeons should be aware that the collateral costs with talonavicular fusion appear higher, and it has a significant effect on subtalar kinematics during the toe-off phase of gait.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrodese / Cadáver / Articulação Talocalcânea / Amplitude de Movimento Articular / Marcha Limite: Female / Humans Idioma: En Revista: Foot Ankle Int Assunto da revista: ORTOPEDIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrodese / Cadáver / Articulação Talocalcânea / Amplitude de Movimento Articular / Marcha Limite: Female / Humans Idioma: En Revista: Foot Ankle Int Assunto da revista: ORTOPEDIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos