000084186 001__ 84186
000084186 005__ 20200117221635.0
000084186 0247_ $$2doi$$a10.1016/j.recot.2018.04.003
000084186 0248_ $$2sideral$$a107242
000084186 037__ $$aART-2018-107242
000084186 041__ $$aspa
000084186 100__ $$aLarrainzar-Garijo, R.
000084186 245__ $$aEfecto de la osteotomía medializante de calcáneo sobre tejidos blandos de soporte del arco plantar: un estudio computacional
000084186 260__ $$c2018
000084186 5060_ $$aAccess copy available to the general public$$fUnrestricted
000084186 5203_ $$aMedializing calcaneal osteotomy forms part of the treatment options for adult acquired flat foot. The structural correction that is achieved is widely known. However, the effect of this procedure on the soft tissues that support the plantar arch has been little studied, since it is not possible to quantify experimentally the tension and deformation variations generated. Therefore, the objective of this study was to evaluate the effect of medializing calcaneal osteotomy on the soft tissue that supports the plantar arch, using a computational model of the human foot designed with a clinical approach. The proposed finite element model was reconstructed from computerized tomography images of a healthy patient. All the bones of the foot, the plantar fascia, cartilages, plantar ligaments and the calcaneus-navicular ligament were included, respecting their anatomical distribution and biomechanical properties. Simulations were performed emulating the monopodal support phase of the human walk of an adult. The effect on each tissue was evaluated according to clinical and biomechanical criteria. The results show that calcaneal osteotomy reduces the tension normally generated on the evaluated tissues, with the effect on the calcaneus-navicular ligament and the plantar fascia being the most notable. The deformation results obtained are consistent with experimental tests and clinical knowledge. The versatility of this model allows the objective assessment of different conditions and supports decision making for the treatment of adult acquired flat foot in middle and advanced stages.
000084186 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000084186 592__ $$a0.283$$b2018
000084186 593__ $$aSurgery$$c2018$$dQ3
000084186 593__ $$aOrthopedics and Sports Medicine$$c2018$$dQ3
000084186 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000084186 700__ $$0(orcid)0000-0002-4785-8982$$aCifuentes de la Portilla, C.
000084186 700__ $$aGutiérrez-Narvarte, B.
000084186 700__ $$aDíez-Nicolás, E.
000084186 700__ $$0(orcid)0000-0001-5505-6974$$aBayod, J.$$uUniversidad de Zaragoza
000084186 7102_ $$15004$$2605$$aUniversidad de Zaragoza$$bDpto. Ingeniería Mecánica$$cÁrea Mec.Med.Cont. y Teor.Est.
000084186 773__ $$g63, 2 (2018), 155-163$$pRev. esp. cir. ortop. traumatol.$$tRevista Espanola de Cirugia Ortopedica y Traumatologia$$x1888-4415
000084186 8564_ $$s641872$$uhttps://zaguan.unizar.es/record/84186/files/texto_completo.pdf$$yPostprint
000084186 8564_ $$s95162$$uhttps://zaguan.unizar.es/record/84186/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000084186 909CO $$ooai:zaguan.unizar.es:84186$$particulos$$pdriver
000084186 951__ $$a2020-01-17-22:01:58
000084186 980__ $$aARTICLE