Acta Ortopédica Mexicana

Orozco-Villaseñor SL, Monzó-Planella M, Martín-Oliva X, Frias-Chimal JE, Mayagoitia-Vázquez JJ, Alvarado-Camacho SN
Biomechanical analysis through numerical simulation of rupture of the tibial posterior tendon in valgus flat foot: a cadeveric study
Acta Ortop Mex 2018; 32 (2)

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

[Fulltext - PDF]

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.


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


REFERENCES

  1. Deland JT, de Asla RJ, Sung IH, Ernberg LA, Potter HG. Posterior tibial tendon insufficiency: which ligaments are involved? Foot Ankle Int. 2005; 26(6): 427-35.

  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.

  3. Conti S, Michelson J, Jahss M. Clinical significance of magnetic resonance imaging in preoperative planning for reconstruction of posterior tibial tendon ruptures. Foot Ankle. 1992; 13(4): 208-14.

  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.

  5. Zhang MY, Xu C, Li KH. Finite element analysis of nonanatomic tenodesis reconstruction methods of combined anterior talofibular ligament and calcaneofibular ligament deficiency. Foot Ankle Int. 2011; 32(10): 1000-8.

  6. Wacker J, Calder JD, Engstrom CM, Saxby TS. Morphometry of posterior tibialis muscle in adult acquired flat foot. Foot Ankle Int. 2003; 24(4): 354-7.

  7. Neville C, Lemley FR. Effect of ankle-foot orthotic devices on foot kinematics in stage II posterior tibial. Foot Ankle Int. 2012; 33(5): 406-14.

  8. Téllez PP. Manejo de la disfunción del tibial posterior. Ortho-tips. 2006; 2(4): 277-84.