Is intraoperative pedography helpful in clinical use--preliminary results of 100 cases from a consecutive,
Martinus Richter1, Stefan Zech
1Department for Trauma, Orthopaedic and Foot Surgery, Coburg Clinical Center, Coburg, Germany. info@foot-trauma.org
Background:
The purpose of this study was to assess the clinical use, and to analyze the potential clinical benefit of intraoperative pedography (IP) in a sufficient number of cases in comparison with cases treated without IP.
Methods:
Patients (age 18 years and older) which sustained an arthrodesis and/or correction of the foot and ankle were included.
Results:
One hundred cases were included (ankle correction arthrodesis, n=12; subtalar joint correction arthrodesis, n=14; arthrodesis without correction midfoot, n=15; correction arthrodesis midfoot, n=26; correction forefoot, n=33). Fifty-two patients were randomized for the use of IP. In 24 of the 52 patients (46%), the correction was modified after IP during the same operation.
Conclusions:
In 46% of the cases a modification of the surgical correction was made after IP in the same surgical procedure. Whether IP improve the plantar force distribution of the foot and the mid- or long-term clinical outcome has to be critically analyzed when longer follow-up is completed.
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