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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2018, Number 2

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Acta Ortop Mex 2018; 32 (2)

Biomechanical analysis through numerical simulation of rupture of the tibial posterior tendon in valgus flat foot: a cadeveric study

Orozco-Villaseñor SL, Monzó-Planella M, Martín-Oliva X, Frias-Chimal JE, Mayagoitia-Vázquez JJ, Alvarado-Camacho SN
Full text How to cite this article

Language: Spanish
References: 8
Page: 82-87
PDF size: 321.25 Kb.


Key words:

Flat foot disease, tibial posterior insufficiency, numeric simulation, tridimensional, cadaveric.

ABSTRACT

The insufficiency of the posterior tibial tendon is the most common acquired cause of pain related to valgus flatfoot deformity in adults. The acquired flatfoot adult is a very painful symptomatic deformity resulting from a gradual stretching (attenuation) of the posterior tibial tendon and ligaments that support the arch of the foot. The progressive pain acquired flatfoot adult affects four times more women than men. Some factors that contribute to increased risk of acquired flatfoot in adults, are diabetes, hypertension and obesity. It is thought that the combination of the following events is the cause of acquired flatfoot adult. Johnson Strom classification modified by Mayerson evaluates in 4 stages. This study was divided into 3 stages: Stage 1: Dissection and three-dimensional analysis of the tendon, Step 2: Application of tools bioengineering to determine the causes of rupture of the tibial tendon: Stage 3: Evaluation of 24 patients with flatfoot disease valgus for describe the deformity.


REFERENCES

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  2. Cooper AJ, Mizel MS, Patel PD, Steinmetz ND, Clifford PD. Comparison of MRI and local anesthetic tendon sheath injection in the diagnosis of posterior tibial tendon tenosynovitis. Foot Ankle Int. 2007; 28(11): 1124-7.

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  4. Hayashi k, Tanaka Y, Kumai T, Sugimoto K, Takakura Y. Correlation of compensatory alignment of the subtalar joint to the progression of primary osteoarthritis of the ankle. Foot Ankle Int. 2008; 29(4): 400-6.

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Acta Ortop Mex. 2018 Mar-Abr;32