[Combined lateral ligament-plasty and calcaneus osteotomy in recurrent foot dislocation].
The risk of a supination trauma is particularly high in patients with pathological calcaneus varus as opposed to physiological calcaneus valgus. If in these patients only the lateral ligaments are operatively treated after a trauma, there is a high incidence of recurrence, as the abnormal position of the calcaneus means that the supinating forces acting laterally have a stronger effect than in normal cases. We therefore suggest a combination of fibulotalar syndesmoplasty with osteotomy of the calcaneus according to Dwyer in such cases. In the last 7 years we have carried out this operation eight times with no recurrence in any of these patients so far. In four patients, a gait analysis was performed. It was established that the abnormal floor reaction forces seen in the presence of calcaneus varus normalize following the operation.
D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries; D000843:Ankle Joint / Q000601:surgery; D001265:Athletic Injuries / Q000601:surgery; D001696:Biomechanical Phenomena; D002111:Calcaneus / Q000601:surgery*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery; D008297:Male; D010027:Osteotomy; D012008:Recurrence
Kombinierte lateralere Bandplastik und Calcaneusosteotomie bei der rezidivierenden Distorsio pedis.