Chevron截骨术对母外翻足关节接触特征影响的生物力学研究

doi:10.13418/j.issn.1001-165x.2023.1.15

Abstract

Abstract: Objective To explore the influence of the distal lateral displacement distance of Chevron osteotomy on contact characteristics of the hallux valgus, so as to provide reference for selecting suitable displacement distance in clinical practice. Methods The contact force, peak pressure and contact area of each joint of the forefoot, midfoot and hindfoot were measured in normal foot, hallux valgus foot, the distal Chevron osteotomy of the hallux valgus after the lateral displacement of 2.0, 4.0, 6.0 mm in the neutral position of the ankle joint, respectively. The results were compared and analyzed. Results Compared with the normal foot, the contact force of the 1st tarsometatarsal joint (t=-3.33, P=0.02), the calcaneocuboid joint (t=-2.74, P=0.03) and the subtalar joint (posterior articular surface) (t=-2.89, P=0.03) of hallux valgus foot significantly increased. The peak pressure of the talonavicular joint (t=-2.73, P=0.03) and the calcaneocuboid joint (t=-2.74, P=0.03) of the hallux valgus foot increased significantly. After Chevron osteotomy was performed, with the increasing of lateral displacement distance of distal osteotomy, the contact force of the 1st tarsometatarsal joint and the calcaneocuboid joint of hallux valgus foot decreased gradually; the peak pressure of the the talonavicular joint and the calcaneocuboid joint of hallux valgus decreased gradually. Conclusions After Chevron osteotomy is performed on moderate hallux valgus foot, when the distal end of the first metatarsal osteotomy is displaced outward by 4mm or 6mm, it can effectively restore the distribution of some inter articular forces and alleviate the local stress concentration of some joints.

Key words: Hallux valgus; , , Chevron osteotomy; , , Contact force; , , Peak pressure; , , Contact area

CLC Number:

R318.01

Ma Dong, Wang Yining, Xu Chujiang, Xiao Jin, Feng Zhengkuan, Xu Guangwei, Yu Wanqi, Qian Lei, Ouyang Jun. Biomechanical effect of the distal Chevron osteotomy on contact characteristics of foot joints of hallux valgus[J]. Chinese Journal of Clinical Anatomy, 2023, 41(1): 81-86.

References 15

[1]	Bascarević Z, Vukasinović ZS, Bascarević VD, et al. Hallux valgus[J]. Acta Chir Iugosl, 2011, 58(3):107-111.
[2]	Acar B, Kose O, Turan A, et al. Comparison of bioabsorbable Magnesium versus Titanium screw fixation for modified distal Chevron osteotomy in hallux valgus[J]. Biomed Res Int, 2018, 2018:5242806. DOI: 10.1155/2018/5242806.
[3]	Del VJ, Ghioldi ME, Chemes LN, et al. Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series[J]. Int Orthop, 2021,45(9):2251-2260. DOI: 10.1007/s00264-021-05111-4.
[4]	Biz C, Fosser M, Dalmau-Pastor M, et al. Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: a longitudinal prospective study with a 48-month follow-up[J]. J Orthop Surg Res, 2016,11(1):157. DOI: 10.1186/s13018-016-0491-x.
[5]	Zhang Q, Zhang Y, Huang J, et al. Effect of displacement degree of distal Chevron osteotomy on metatarsal stress: A finite element method[J]. Biology (Basel), 2022,11(1):127. DOI: 10.3390/biology11010127.
[6]	Verdu-Roman C, Sanz-Reig J, Martinez-Gimenez E, et al. Plantar pressure improvement in moderate hallux valgus with modified chevron osteotomy: Clinical and radiographic outcomes[J]. Foot Ankle Surg, 2020,26(2):205-208. DOI: 10.1016/j.fas.2019.02.006.
[7]	张鹏，夏江，俞光荣，等. Evans手术对跟骰关节压力影响的生物力学研究[J]. 中国临床解剖学杂志, 2012, 30(3):337-341.
[8]	Vora AM, Tien TR, Parks BG, et al. Correction of moderate and severe acquired flexible flatfoot with medializing calcaneal osteotomy and flexor digitorum longus transfer[J]. J Bone Joint Surg Am, 2006,88(8):1726-1734. DOI: 10.2106/JBJS.E.00045.
[9]	Chen J, Black NR, Morris R, et al. Biomechanical comparison of a novel method of Tricortical Kirschner wire fixation of distal Chevron osteotomies of the first metatarsal Versus traditional Kirschner wire and Versus screw fixation[J]. Foot Ankle Spec, 2020:842266661. DOI: 10.1177/1938640020965339.
[10]	Brogan K, Lindisfarne E, Akehurst H, et al. Minimally invasive and open distal Chevron osteotomy for mild to moderate hallux valgus[J]. Foot Ankle Int, 2016,37(11):1197-1204. DOI: 10.1177/107110071665 6440.
[11]	Badwey TM, Dutkowsky JP, Graves SC, et al. An anatomical basis for the degree of displacement of the distal chevron osteotomy in the treatment of hallux valgus[J]. Foot Ankle Int, 1997,18(4):213-215. DOI: 10.1177/107110079701800405.
[12]	Matsumoto T, Gross CE, Parekh SG. Short-term radiographic outcome after distal Chevron osteotomy for hallux valgus using intramedullary plates with an amended algorithm for the surgical management of hallux valgus[J]. Foot Ankle Spec, 2019,12(1):25-33. DOI:10.1177/1938640018762474.
[13]	Capurro B, Reina F, Carrera A, et al. Hip labral reconstruction with a polyurethane scaffold: restoration of femoroacetabular contact biomechanics[J]. Orthop J Sports Med, 2022,10(9):951723887. DOI:10.1177/23259671221118831.
[14]	Berger L, Pahr D, Synek A. Articular contact vs. embedding: Effect of simplified boundary conditions on the stress distribution in the distal radius and volar plate implant loading[J]. J Biomech, 2022,143:111279. DOI:10.1016/j.jbiomech.2022.111279.
[15]	马冬，王镱凝，徐楚江，等. 肌力对足关节接触特征影响的生物力学研究[J]. 医用生物力学, 2022, 网络首发地址：https://kns.cnki.net/kcms/detail/31.1624.r.20220919.1744.004.html.

Biomechanical effect of the distal Chevron osteotomy on contact characteristics of foot joints of hallux valgus

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 15

Related Articles 15

Metrics

Comments

Recommended 0

[1]	Jiang Jianhong, Duan Renpeng, Li Xiaofeng. Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 1-4.
[2]	Guo Hongzhi, Wang Yu, Zhang Jiaqi, Liang Haibin, Ma Ziwei, Feng Wei, Wu You, Si Ziyi. Evaluation of placental vascular structure in preeclampsia by vascular casting combined with CT three-dimensional model [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 5-10.
[3]	Li Jiawei, Zhang Jing, Li Canran, Lan Wenjie, Ji Qingyu, Guo Zhiyong, Zhang Yunfeng, Liu Qi, Chen Qingwei, Li Xiaohe. X-ray measurement of proximal femur anatomical parameters in Mongolian population [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 11-16.
[4]	. Digital measurement and clinical significance of occipitocervical Angle and posterior occipitocervical Angle in children and adolescents [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 17-20.
[5]	Li Wen, Yang Siyi, Huang Lei, Qing Jiwen, Jiang Songtao, Zhang Lei. Morphological characteristics and clinical significance of Lisfranc ligament based on MRI [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 21-25.
[6]	Li Fanfan, Xu Yang, Wang Xiaoxu. Therapeutic effect of shikonin on the treatment of granuloma lobular mastitis in model rats by regulating Nrf2/HO-1 signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 26-32.
[7]	Wang Xinghang, Ding Jiayuan, Li Fang, Bao Cuifen, Yan Lijing. Ginsenoside Rg1 reduces the inflammatory response of microglia after oxygen glucose deprivation/resupply by inhibiting the NLRP3 inflammasome pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 33-41.
[8]	Cheng Yingying, Wu Jianjun, Cai Haiyan , Jiao Xunwen, Ma Jiangbo, Ding Yinxiu. Activation and functional changes of astrocytes cultured in vitro under inflammatory stimulation [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 42-46.
[9]	Qi Zhi, Yang Li, Jia Qiuye, Chen Haolun, Duan Zhaoda, Wu Chunyun. Edaravone regulates Sirt3 expression in lipopolysaccharide-activated microglia via MAPKs signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 47-53.
[10]	Zhang Jingjing, Wang Hongxin. Protective effect of Baicalin on rats with pulmonary hypertension through PDGF/P38 MAPK signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 54-58.
[11]	Yue Qin, Chen Rongli, Xiong Jingxi, Wang Tingyi, Cai Zhiheng, Yi Qiushi, Zeng Xinyi. Effect of Bletilla striata polysaccharides on the choke-area of cross-boundary flap in rats [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 59-64.
[12]	Li Xiaoyu , Zhang Lei , Fu Lei , Li Dongbo , Wang Guoyou. Finite element study on the treatment of Sanders type II calcaneal fracture with three-step reduction method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 65-70.
[13]	Wu Yanfei, Ma Jianxiong, Lu Bin, Wang Ying, Bai Haohao, Jin Hongzhen, Ma Xinlong. Study on the correlation between the reconstruction of grayscale values using CT post-processing technology and the compressive strength of the endplate [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 71-76.
[14]	Zhuang Wanqiang, Tang Yi, Luo Yonggang, Zhang Hui. An early and mid-term retrospective study of the effects of arthroscopy combined with high tibial osteotomy on patellar position and patellofemoral joint function [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 77-82.
[15]	Luo Ying, Dou Weiyu, Wu Xiaohang, Chen Jingkun, Peng Changgui, Pan Jianying . Risk factors of postoperative complications of calcaneal fractures treated with hippocampal plate internal fixation through minimally invasive method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 83-88.