AI Article Synopsis
- A stable medial column in the foot and ankle is crucial for proper function, as instability can lead to issues like stress in the soft tissues.
- Medial column stabilization should be considered in cases of forefoot varus deformity, significant medial column instability, or degenerative changes in the related joints.
- Common surgical options include fusing joints like the talonavicular and naviculocuneiform joints, and performing a Cotton osteotomy on the medial cuneiform.
Article Abstract
A stable medial column is important to the normal function of the foot and ankle. Medial column instability and forefoot varus can result in compensatory hindfoot motion leading to stress along the medial soft-tissue structures. Medial column stabilization should therefore be considered when (1) forefoot varus deformity is identified following hindfoot realignment; (2) pronounced medial column instability is present, even in the absence of forefoot varus; and (3) when degenerative changes are present within the medial column articulations. Common surgical procedures include arthrodesis of the talonavicular joint, naviculocuneiform joint, and first tarsometatarsal joint, as well as osteotomy of the medial cuneiform (Cotton osteotomy).
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| http://dx.doi.org/10.1016/j.cpm.2022.11.003 | DOI Listing |
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