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Naviculocuneiform arthrodesis.

Lawrence A Ford1, Graham A Hamilton

  • 1Department of Orthopedics and Podiatric Surgery, Kaiser Permanente Medical Center, 901 Nevin Avenue, Richmond, CA 94108, USA. Lawrence.Ford@kp.org

Clinics in Podiatric Medicine and Surgery
|March 12, 2004
PubMed
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Navicular cuneiform (NC) arthrodesis effectively relieves pain from arthritis or arch collapse. Combining this fusion with procedures like gastrocnemius recession stabilizes the foot, restoring function and mitigating stress on the NC joint.

Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Biomechanical Engineering

Background:

  • Navicular cuneiform (NC) joint arthritis or collapse causes significant foot pain.
  • The NC joint is crucial for foot lever arm function and experiences bending-moment stress.
  • Current treatments aim to alleviate pain and restore foot function.

Purpose of the Study:

  • To evaluate the efficacy of NC arthrodesis for pain relief.
  • To determine the benefits of NC joint fusion in correcting flatfoot deformities.
  • To assess the necessity of adjunctive procedures with NC arthrodesis.

Main Methods:

  • Review of NC arthrodesis procedures for arthritis and flatfoot.
  • Analysis of biomechanical stress on the NC joint.

Related Experiment Videos

  • Evaluation of outcomes when NC arthrodesis is combined with gastrocnemius recession or tendo-Achillis lengthening.

    • Main Results:

    • NC arthrodesis successfully alleviates pain associated with NC joint pathology.
    • Fusion of the NC joint stabilizes the medial column of the foot.
    • Concomitant procedures like gastrocnemius recession are recommended due to stress on the NC joint.

    Conclusions:

    • NC arthrodesis is a valuable surgical option for managing NC joint arthritis and arch collapse.
    • Stabilization of the medial column through NC fusion aids in restoring foot function.
    • Adjunctive lengthening of the Achilles tendon or gastrocnemius recession is advised to address biomechanical stress during NC arthrodesis.