Objective To discuss the effect of the calcaneocuboid arthrodesis on three-dimensional kinematics of talonavicular joint and its clinical significance. Methods Ten freshfrozen foot specimens, three-dimensional kinematics oftalonavicular joint were determined in the case of neutral position, dorsiflexion, plantoflexion, adduction, abduction, inversion and eversion motion by meansof threedimensional coordinate instrument(Immersion MicroScribe G2X) before and after calcaneocuboid arthrodesis under non-weight with moment of couple, bending moment, equilibrium dynamic loading. Calcaneocuboid arthrodesis was performed on these feet in neutral position and the lateral column of normal length. Results A significant decrease in the three-dimensional kinematics of talonavicular joint was observed(P<0.01)in cadaver model following calcaneocuboid arthrodesis. Talonavicular joint motion was diminished by 31.21%±6.08% in sagittal plane; by 51.46%±7.91% in coronal plane; by 36.98%±4.12% in transverse plane; and averagely by 41.25%±6.02%. Conclusion Calcaneocuboid arthrodesis could limite motion of the talonavicular joints, and the disadvantage of calcaneocuboid arthrodesis shouldn’t be neglected.
Citation: CHEN Yanxi,YU Guangrong,DING Zhuquan,et al.. EFFECT OF CALCANEOCUBOID ARTHRODESIS ON THREEDIMENSIONAL KINEMATICSOF TALONAVICULAR JOINT. Chinese Journal of Reparative and Reconstructive Surgery, 2007, 21(3): 255-258. doi: Copy