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Stabilisierung und Korrektur der medialen Säule im Rahmen der operativen Pes-planovalgus-Therapie

Surgical procedures for the correction and stabilization of pes planovalgus

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Zusammenfassung

Bei der Pathogenese des Pes planovalgus kommt der medialen Säule des Fußes eine besondere Rolle zu. Die relevanten Strukturen umfassen den tibiokalkaneonavikulären Bandapparat, die navikulokuneiformen Gelenke inklusive der Ossa cuneiformia selbst und auch das erste tarsometatarsale Gelenk. Daher ist eine Kombination knöcherner und weichteiliger Korrekturen bei der Korrektur des Pes planovalgus zu berücksichtigen. Die hier vorliegende Arbeit beschreibt stabilisierende und korrigierende Eingriffe an der medialen Säule des Fußes mitsamt der zugrundeliegenden Anatomie und Biomechanik.

Abstract

The medial column of the foot is a relevant factor of the pathogenesis of pes planovalgus. Crucial anatomic structures are the tibiocalcaneonavicular ligament complex, the naviculocuneiform joints, including the ossa cuneiformia, and the first tarsometatarsal joint. A combination of bony and soft tissue reconstructive techniques must, therefore, be taken into account when treating pes planovalgus. The present article presents stabilizing and correcting surgical procedures for the medial column of the foot, including basic anatomy and biomechanics.

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Abbreviations

FDL:

Flexor digitorum longus-Sehne

LLCOT :

„Lateral lengthening calcaneus osteotomy“

NC :

Naviculocuneiform

TCN :

Tibiocalcaneonavikular

TMT :

Tarsometatarsal

TN :

Talonavikular

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Authors and Affiliations

  1. Orthopädische Klinik der Medizinischen Hochschule Hannover, DIAKOVERE Annastift, Anna-von-Borries-Str. 1–7, 30625, Hannover, Deutschland

    L. Claaßen, S. Ettinger, D. Yao, M. Lerch, C. Stukenborg-Colsman & C. Plaaß

Authors
  1. L. Claaßen
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  2. S. Ettinger
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  3. D. Yao
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  4. M. Lerch
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  5. C. Stukenborg-Colsman
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  6. C. Plaaß
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Correspondence to L. Claaßen.

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Interessenkonflikt

L. Claaßen, S. Ettinger, D. Yao, M. Lerch, C. Stukenborg-Colsman und C. Plaaß geben 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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Claaßen, L., Ettinger, S., Yao, D. et al. Stabilisierung und Korrektur der medialen Säule im Rahmen der operativen Pes-planovalgus-Therapie. Orthopäde 49, 968–975 (2020). https://doi.org/10.1007/s00132-020-03992-8

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  • DOI: https://doi.org/10.1007/s00132-020-03992-8

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