Medial Column Biomechanics: Nonsurgical and Surgical Implications.

Publication Title

Clinics in podiatric medicine and surgery

Authors

Francis Chan
Melinda A Bowlby, Department of Orthopedics, Division of Podiatry, Swedish Medical Center, Seattle, WA, USA; Department of Orthopedics, Division of Podiatry, Providence Medical Center, Everett, WA, USAFollow
Jeff C Christensen, Division of Podiatric Surgery, Department of Orthopedic, Swedish Medical Center-First Hill Campus, Seattle, WAFollow

Document Type

Article

Publication Date

1-1-2020

Keywords

Arthrodesis; Flatfoot; Foot Joints; Foot Orthoses; Humans; Osteotomy; Tarsal Bones

Abstract

Understanding of medial column biomechanics is paramount to a successful outcome in both conservative and surgical treatment. Dysfunctions of the dynamic stabilizers as well as the static stabilizers of the medial column play a role in pathomechanics. Conservative options for addressing the medial column include custom foot orthotics and bracing. Options for addressing the medial column surgically with the goal to restore a stable tripod configuration, include first tarsometatarsal joint arthrodesis, opening plantarflexory medial cuneiform osteotomy, and naviculocuneiform arthrodesis.

Area of Special Interest

Orthopedics & Sports Medicine

Specialty/Research Institute

Orthopedics

Specialty/Research Institute

Surgery