nach oben

Erschienen in:

26.10.2020 | Leitthema

Treatment concepts for pes planovalgus with concomitant changes of the ankle joint

Tibiotalocalcaneal arthrodesis, total ankle replacement and joint-preserving surgery

verfasst von: PD Dr. med. Christian Plaass, Jan Willem Louwerens, MD, PhD, PD Dr. med Leif Claassen, PD Dr. med Sarah Ettinger, Dr. med. Daiwei Yao, PD Dr. med Matthias Lerch, Prof. Dr. med. Christina Stukenborg-Colsman, Christian Donken, MD, PhD

Erschienen in: Die Orthopädie | Ausgabe 11/2020

Einloggen, um Zugang zu erhalten

Abstract

Concomitant valgus deformities of the ankle joint are found in approximately 3% of patients with symptomatic flatfoot deformities. Conservative treatment is mostly successful only in the short term or in low-demand patients. The operative treatment of flatfoot deformities follows the standard algorithm for flatfoot treatment. The ankle joint can be treated while retaining mobility or by arthrodesis depending on the degree and rigidity of the deformity, degenerative changes, patient factors and expectations. Achieving an orthograde hindfoot and midfoot is obligatory for successful treatment as well as in ankle reconstructive or arthrodesis procedures.

Myerson M (1997) Adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendon. Instr Course Lect 46:393–405PubMed

Bluman E, Title C, Myerson M (2007) Posterior tibial tendon rupture: a refined classification system. Foot Ankle Clin 12:233–249PubMedCrossRef

Bluman E, Myerson M (2007) Stage IV posterior tibial tendon rupture. Foot Ankle Clin 12:341–362PubMedCrossRef

Michelson J, Conti S, Jahss MH (1992) Survivorship analysis of tendon transfer surgery for posterior tibial tendon rupture. Orthop Trans 16:30

Ettinger S, Mattinger T, Yao D, Stukenborg C, Claassen L, Daniilidis K et al (2017) Outcomes after lengthening calcaneal osteotomy for flatfoot deformity: evans versus Hintermann. Foot Ankle Surg 23:57

Bernasconi A, Sadile F, Welck M, Mehdi N, Laborde J, Lintz F (2018) Role of tendoscopy in treating stage II posterior tibial tendon dysfunction. Foot Ankle Int 39:433–442PubMedCrossRef

Deland JT (2001) The adult acquired flatfoot and spring ligament complex: pathology and implications for treatment. Foot Ankle Clin 6:129–135PubMedCrossRef

Deland JT, de Asla RJ, Sung I‑H, Ernberg LA, Potter HG (2005) Posterior tibial tendon insufficiency: which ligaments are involved? Foot Ankle Int 26:427–435PubMedCrossRef

Balen PF, Helms CA (2001) Association of posterior tibial tendon injury with spring ligament injury, sinus tarsi abnormality, and plantar fasciitis on MR imaging. Am J Roentgenol 176:1137–1143CrossRef

10.

Pisani G (2015) “Coxa pedis” today. Foot Ankle Surg 22:78–84PubMedCrossRef

11.

Campbell KJ, Michalski MP, Wilson KJ, Goldsmith MT, Wijdicks CA, LaPrade RF et al (2014) The ligament anatomy of the deltoid complex of the ankle: a qualitative and quantitative anatomical study. J Bone Joint Surg Am 96:e62PubMedCrossRef

12.

Cromeens BP, Kirchhoff CA, Patterson RM, Motley T, Stewart D, Fisher C et al (2015) An attachment-based description of the medial collateral and spring ligament complexes. Foot Ankle Int 36:710–721CrossRefPubMed

13.

Jordan M, Thomas M, Elser F, Fischer W (2018) Injuries of the medial collateral ligament and spring ligament complexes. Unfallchirurg 121:704–714CrossRefPubMed

14.

Boss AP, Hintermann B (2002) Anatomical study of the medial ankle ligament complex. Foot Ankle Int 23:547–553PubMedCrossRef

15.

Earll M, Wayne J, Brodrick C, Vokshoor A, Adelaar R (1996) Contribution of the deltoid ligament to ankle joint contact characteristics: a cadaver study. Foot Ankle Int 17:317–324PubMedCrossRef

16.

Klerken T, Kosse NM, Aarts CAM, Louwerens JWK (2019) Long-term results after triple arthrodesis: Influence of alignment on ankle osteoarthritis and clinical outcome. Foot Ankle Surg 25:247–250PubMedCrossRef

17.

Song SJ, Lee S, O’Malley MJ, Otis JC, Sung H, Deland JT (2000) Deltoid ligament strain after correction of acquired flatfoot deformity by triple arthrodesis. Foot Ankle Int 21:573–577PubMedCrossRef

18.

Resnick RB, Jahss MH, Choueka J, Kummer F, Hersch JC, Okereke E (1995) Deltoid ligament forces after tibialis posterior tendon rupture: effects of triple arthrodesis and calcaneal displacement osteotomies. Foot Ankle Int 16:14–20CrossRefPubMed

19.

Hyer CF, Galli MM, Scott RT, Bussewitz B, Berlet GC (2014) Ankle valgus after hindfoot arthrodesis: a radiographic and chart comparison of the medial double and triple arthrodeses. J Foot Ankle Surg 53:55–58PubMedCrossRef

20.

Alvarez RG, Marini A, Schmitt C, Saltzman CL (2006) Stage I and II posterior tibial tendon dysfunction treated by a structured nonoperative management protocol: an orthosis and exercise program. Foot Ankle Int 27:2–8CrossRefPubMed

21.

Wapner KL, Chao W (1999) Nonoperative treatment of posterior tibial tendon dysfunction. Clin Orthop Relat Res 365:39–45CrossRef

22.

Kelly IP, Nunley JA (2001) Treatment of stage 4 adult acquired flatfoot. Foot Ankle Clin 6:167–178CrossRefPubMed

23.

Bohay DR, Anderson JG (2003) Stage IV posterior tibial tendon insufficiency: the tilted ankle. Foot Ankle Clin 8:619–636CrossRefPubMed

24.

Smith JT, Bluman EM (2012) Update on stage IV acquired adult flatfoot disorder when the deltoid ligament becomes dysfunctional. Foot Ankle Clin 17:351–360CrossRefPubMed

25.

Brunner S, Knupp M, Hintermann B (2010) Total ankle replacement for the valgus unstable osteoarthritic ankle. Tech Foot Ankle Surg 9:165–174CrossRef

26.

Ellis SJ, Williams BR, Wagshul AD, Pavlov H, Deland JT (2010) Deltoid ligament reconstruction with peroneus longus autograft in flatfoot deformity. Foot Ankle Int 31:781–789PubMedCrossRef

27.

Jeng CL, Bluman EM, Myerson MS (2011) Minimally invasive deltoid ligament reconstruction for stage IV flatfoot deformity. Foot Ankle Int 32:21–30PubMedCrossRef

28.

Krähenbühl N, Zwicky L, Bolliger L, Schädelin S, Hintermann B, Knupp M (2017) Mid- to long-term results of supramalleolar osteotomy. Foot Ankle Int 38:124–132PubMedCrossRef

29.

Hintermann B, Valderrabano V, Boss A, Trouillier HH, Dick W (2004) Medial ankle instability. Am J Sports Med 32:183–190PubMedCrossRef

30.

Nery C, Lemos AVKC, Raduan F, Mansur NSB, Baumfeld D (2018) Combined spring and deltoid ligament repair in adult-acquired flatfoot. Foot Ankle Int 39:903–907PubMedCrossRef

31.

Patel MS, Barbosa MP, Kadakia AR (2017) Role of spring and deltoid ligament reconstruction for adult acquired flatfoot deformity. Tech Foot Ankle Surg 16:124–135CrossRef

32.

Clanton TO, Williams BT, James EW, Campbell KJ, Rasmussen MT, Haytmanek CT et al (2015) Radiographic identification of the deltoid ligament complex of the medial ankle. Am J Sports Med 43:2753–2762PubMedCrossRef

33.

Williams BR, Ellis SJ, Deyer TW, Pavlov H, Deland JT (2010) Reconstruction of the spring ligament using a peroneus longus autograft tendon transfer. Foot Ankle Int 31:567–577PubMedCrossRef

34.

Deland JT, de Asla RJ, Segal A (2004) Reconstruction of the chronically failed deltoid ligament: a new technique. Foot Ankle Int 25:795–799PubMedCrossRef

35.

Johnson CH, Christensen JC (1999) Biomechanics of the first ray part I. The effects of peroneus longus function: a three-dimensional kinematic study on a cadaver model. J Foot Ankle Surg 38:313–321PubMedCrossRef

36.

Rasmussen O (1985) Stability of the ankle joint. Analysis of the function and traumatology of the ankle ligaments. Acta Orthop Scand Suppl 211:1–75CrossRefPubMed

37.

Xu C, Qing LM, Wang C, Liu H (2019) Nonanatomic versus anatomic techniques in spring ligament reconstruction: biomechanical assessment via a finite element model. J Orthop Surg Res 14:114PubMedPubMedCentralCrossRef

38.

Brodell JD, MacDonald A, Perkins JA, Deland JT, Oh I (2019) Deltoid-spring ligament reconstruction in adult acquired flatfoot deformity with medial peritalar instability. Foot Ankle Int 40:753–761CrossRefPubMed

39.

Valderrabano V, Paul J, Monika H, Pagenstert GI, Henninger HB, Barg A (2013) Joint-preserving surgery of valgus ankle osteoarthritis. Foot Ankle Clin 18:481–502CrossRefPubMed

40.

de Keijzer DR, Joling BSH, Sierevelt IN, Hoornenborg D, Kerkhoffs GMMJ, Haverkamp D (2019) Influence of preoperative tibiotalar alignment in the coronal plane on the survival of total ankle replacement: a systematic review. Foot Ankle Int 41:1071100719886817

41.

Schuberth JM, Christensen JC, Seidenstricker CL (2017) Total ankle replacement with severe valgus deformity: technique and surgical strategy. J Foot Ankle Surg 56:618–627PubMedCrossRef

42.

Vulcano E, Deland JT, Ellis SJ (2013) Approach and treatment of the adult acquired flatfoot deformity. Curr Rev Musculoskelet Med 6:294–303PubMedPubMedCentralCrossRef

43.

Colin F, Zwicky L, Barg A, Hintermann B (2013) Peritalar instability after tibiotalar fusion for valgus unstable ankle in stage IV adult acquired flatfoot deformity. Foot Ankle Int 34:1677–1682CrossRefPubMed

44.

Tenenbaum S, Coleman SC, Brodsky JW (2014) Improvement in gait following combined ankle and subtalar arthrodesis. J Bone Joint Surg Am 96:1863–1869CrossRefPubMed

45.

Papa JA, Myerson MS (1992) Pantalar and tibiotalocalcaneal arthrodesis for post-traumatic osteoarthrosis of the ankle and hindfoot. J Bone Joint Surg 74:1042–1049CrossRefPubMed

46.

Ettinger S, Stukenborg-Colsman C, Plaass C, Yao D, Claassen L, Berger S et al (2016) Tibiocalcaneal arthrodesis as a limb salvage procedure for complex hindfoot deformities. Arch Orthop Trauma Surg 136:457–462CrossRefPubMed

Titel: Treatment concepts for pes planovalgus with concomitant changes of the ankle joint
Tibiotalocalcaneal arthrodesis, total ankle replacement and joint-preserving surgery
verfasst von: PD Dr. med. Christian Plaass
Jan Willem Louwerens, MD, PhD
PD Dr. med Leif Claassen
PD Dr. med Sarah Ettinger
Dr. med. Daiwei Yao
PD Dr. med Matthias Lerch
Prof. Dr. med. Christina Stukenborg-Colsman
Christian Donken, MD, PhD
Publikationsdatum: 26.10.2020
Verlag: Springer Medizin
Erschienen in: Die Orthopädie / Ausgabe 11/2020
Print ISSN: 2731-7145
Elektronische ISSN: 2731-7153
DOI: https://doi.org/10.1007/s00132-020-03996-4

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

25.04.2024 | Hypertonie | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Treatment concepts for pes planovalgus with concomitant changes of the ankle joint

Tibiotalocalcaneal arthrodesis, total ankle replacement and joint-preserving surgery

Abstract

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 11/2020

Minimal-invasive Komponenten der Therapie der Tibialis-posterior-Insuffizienz des Erwachsenen

Der erworbene Plattfuß des Erwachsenen

Diagnostik und konservative Therapie des Plattfußes

Verletzung des vorderen Kreuzbandes beim Erwachsenen

Gelenkerhaltende operative Korrektur der fortgeschrittenen flexiblen Planovalgusdeformität des erwachsenen Fußes

Reconstruction of forearm support with ulnar translocation after resection of chondrosarcoma in the proximal radius

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie