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Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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The Undercorrected Flatfoot Reconstruction.

Kenneth J Hunt1, Ryan P Farmer2

  • 1Foot and Ankle Surgery, Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Avenue, Room 4508, Aurora, CO 80045, USA.

Foot and Ankle Clinics
|August 7, 2017
PubMed
Summary
This summary is machine-generated.

Undercorrection of adult flatfoot surgery often requires revision due to unrecognized deformity extent. This article details typical flatfoot deformities, surgical options, and evaluation to prevent undercorrection.

Keywords:
Flatfoot malunionFlatfoot undercorrectionLateral column lengtheningMedializing calcaneal osteotomyTriple arthrodesis

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Deformities

Background:

  • Flatfoot deformity in adults can lead to functional impairment.
  • Undercorrection during surgical repair is a common cause of revision surgery.
  • Failure to accurately assess deformity extent contributes to undercorrection.

Purpose of the Study:

  • To discuss typical adult flatfoot deformities and surgical indications.
  • To present surgical procedures for flatfoot correction.
  • To provide an evaluation algorithm to mitigate undercorrection risk.

Main Methods:

  • Review of typical adult flatfoot deformities.
  • Discussion of surgical intervention indications.
  • Presentation of surgical correction techniques and outcomes.
  • Development of a stepwise patient evaluation algorithm.

Main Results:

  • Undercorrection is linked to incomplete deformity recognition.
  • Specific surgical procedures address typical flatfoot patterns.
  • Outcome statistics are available for presented procedures.
  • A structured evaluation algorithm can guide treatment decisions.

Conclusions:

  • Accurate assessment of flatfoot deformity is crucial for successful surgical outcomes.
  • Surgical correction of adult flatfoot requires understanding typical patterns.
  • A systematic approach to patient evaluation aids in preventing undercorrection and revision surgery.