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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Muscles of the Leg that Move the Foot and Toes01:28

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The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Addressing Medial Column Instability in Flatfoot Deformity.

Scott Schleunes1, Alan Catanzariti2

  • 1Department of Orthopedics, Division of Foot & Ankle Surgery, West Penn Hospital, Pittsburgh, PA, USA.

Clinics in Podiatric Medicine and Surgery
|February 25, 2023
PubMed
Summary
This summary is machine-generated.

Maintaining a stable medial column is crucial for foot and ankle function. Medial column stabilization is recommended for forefoot varus, instability, or degenerative changes, often involving surgical fusion or osteotomy.

Keywords:
Adult acquired flatfootCottonForefoot varusMedial column instabilityNaviculocunieformTalonavicularTarsometatarsal

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Biomechanics

Background:

  • A stable medial column is essential for proper foot and ankle function.
  • Medial column instability and forefoot varus can lead to compensatory hindfoot motion and medial soft-tissue stress.

Purpose of the Study:

  • To outline indications for medial column stabilization.
  • To review common surgical procedures for medial column stabilization.

Main Methods:

  • Review of clinical indications for medial column stabilization.
  • Description of surgical techniques including arthrodesis and osteotomy.

Main Results:

  • Medial column stabilization is indicated in cases of forefoot varus post-hindfoot realignment.
  • Stabilization is also considered for significant medial column instability without forefoot varus.
  • Degenerative changes within medial column articulations are another indication for surgical intervention.

Conclusions:

  • Medial column stabilization is a key consideration in specific foot and ankle pathologies.
  • Surgical options include talonavicular, naviculocuneiform, and first tarsometatarsal joint arthrodesis, and Cotton osteotomy.