TY - JOUR
T1 - Effect of plantar fasciotomy on stability of arch of foot
AU - Kitaoka, Harold B.
AU - Luo, Zong Ping
AU - An, Kai Nan
PY - 1997
Y1 - 1997
N2 - Five anatomic specimen feet were studied at three different loading levels to determine the three-dimensional position of the individual bones constituting the arch. Bone displacements were compared before and after plantar fasciotomy. Bone displacements changed to a greater extent with higher leads. With a 222-N lead the greatest difference in position in dorsiflexion after fasciotomy occurred at the talar to tibial joint, followed by the metatarsal relative to navicular and navicular to talar joints. The greatest difference in displacement in eversion was at the metatarsal relative to navicular, followed by the navicular to talar and calcaneal to talar joints. The greatest difference in displacement in abduction was at the navicular to talar and then the calcaneal to talar joints. The observed displacement of all joints, with changes about all three axes, was consistent with the finding of flattening of the arch in previous reports on plantar fasciotomy. Thus, these data suggest that sectioning of the fascia, which sometimes is performed for fasciitis, may have an effect on the mechanical behavior of the arch.
AB - Five anatomic specimen feet were studied at three different loading levels to determine the three-dimensional position of the individual bones constituting the arch. Bone displacements were compared before and after plantar fasciotomy. Bone displacements changed to a greater extent with higher leads. With a 222-N lead the greatest difference in position in dorsiflexion after fasciotomy occurred at the talar to tibial joint, followed by the metatarsal relative to navicular and navicular to talar joints. The greatest difference in displacement in eversion was at the metatarsal relative to navicular, followed by the navicular to talar and calcaneal to talar joints. The greatest difference in displacement in abduction was at the navicular to talar and then the calcaneal to talar joints. The observed displacement of all joints, with changes about all three axes, was consistent with the finding of flattening of the arch in previous reports on plantar fasciotomy. Thus, these data suggest that sectioning of the fascia, which sometimes is performed for fasciitis, may have an effect on the mechanical behavior of the arch.
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U2 - 10.1097/00003086-199711000-00031
DO - 10.1097/00003086-199711000-00031
M3 - Article
C2 - 9372782
AN - SCOPUS:0343990708
SN - 0009-921X
VL - 344
SP - 307
EP - 312
JO - Clinical orthopaedics and related research
JF - Clinical orthopaedics and related research
ER -