Subtalar joint alignment in ankle osteoarthritis.


Journal

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 11 07 2017
revised: 07 09 2017
accepted: 02 10 2017
pubmed: 8 2 2018
medline: 10 7 2019
entrez: 8 2 2018
Statut: ppublish

Résumé

Although it has been proposed that in mid-stage ankle osteoarthritis, the subtalar joint can compensate for deformities above the ankle joint, the evidence is weak. We thus investigated subtalar joint alignment in different stages of ankle osteoarthritis using weightbearing computed tomography (CT) scans. The subtalar joint of 88 patients with osteoarthritis of the ankle joint and a control group of 27 healthy volunteers were assessed. Subgroups were performed according to the ankle deformity (varus and valgus) and stage of ankle joint osteoarthritis. Subtalar joint alignment was assessed on weightbearing CT scans. A more valgus subtalar joint alignment was found in patients with varus ankle osteoarthritis. No significant difference of the subtalar joint alignment was evident when comparing different stages of ankle osteoarthritis. Varus ankles compensate in the subtalar joint for deformities above the ankle joint. Compensation does not correlate with the stage of ankle osteoarthritis.

Sections du résumé

BACKGROUND BACKGROUND
Although it has been proposed that in mid-stage ankle osteoarthritis, the subtalar joint can compensate for deformities above the ankle joint, the evidence is weak. We thus investigated subtalar joint alignment in different stages of ankle osteoarthritis using weightbearing computed tomography (CT) scans.
METHODS METHODS
The subtalar joint of 88 patients with osteoarthritis of the ankle joint and a control group of 27 healthy volunteers were assessed. Subgroups were performed according to the ankle deformity (varus and valgus) and stage of ankle joint osteoarthritis. Subtalar joint alignment was assessed on weightbearing CT scans.
RESULTS RESULTS
A more valgus subtalar joint alignment was found in patients with varus ankle osteoarthritis. No significant difference of the subtalar joint alignment was evident when comparing different stages of ankle osteoarthritis.
CONCLUSIONS CONCLUSIONS
Varus ankles compensate in the subtalar joint for deformities above the ankle joint. Compensation does not correlate with the stage of ankle osteoarthritis.

Identifiants

pubmed: 29409290
pii: S1268-7731(17)31298-5
doi: 10.1016/j.fas.2017.10.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

143-149

Informations de copyright

Copyright © 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Auteurs

Nicola Krähenbühl (N)

Department of Orthopaedic Surgery, Kantonsspital Baselland, Rheinstrasse 26, 4410 Liestal, Switzerland. Electronic address: nicola.kraehenbuehl@ksbl.ch.

Lena Siegler (L)

Department of Orthopaedic Surgery, Kantonsspital Baselland, Rheinstrasse 26, 4410 Liestal, Switzerland.

Manja Deforth (M)

Department of Orthopaedic Surgery, Kantonsspital Baselland, Rheinstrasse 26, 4410 Liestal, Switzerland.

Lukas Zwicky (L)

Department of Orthopaedic Surgery, Kantonsspital Baselland, Rheinstrasse 26, 4410 Liestal, Switzerland.

Beat Hintermann (B)

Department of Orthopaedic Surgery, Kantonsspital Baselland, Rheinstrasse 26, 4410 Liestal, Switzerland.

Markus Knupp (M)

Mein Fuss Zentrum AG, Eichenstrasse 41, 4054 Basel, Switzerland.

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