Modern Referent Lines and Angles in Diagnostic and Treatment of Foot and Ankle Pathology

Leonchuk, S.S.; Evreinova, Y.V.; Сазонова, Н. В.

doi:10.21569/2222-7415-2018-8-4-143-154

Cited by 3 publications

(3 citation statements)

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“…The children underwent clinical and radiographic examination (lateral talus-calcaneus, angle Meary, position of the calcaneus, straight talus-calcaneus divergence and talus-1 metatarsal angles) according to modern reference lines and angles. 18 Preoperative radiographic parameters of feet are in Table 1. It is important to mention that in the AP view of the mid-foot the calcaneus-cuboid angle in all children before and after treatment did not exceed 5 • , so this angle was not analyzed deliberately.…”

Section: Methodsmentioning

confidence: 99%

Subtalar arthroereisis for treatment of children with flexible planovalgus foot deformity and analysis of CT data in long-term period

Leonchuk

Dyachkov

Неретин

et al. 2020

Journal of Orthopaedics

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Section: Methodsmentioning

confidence: 99%

Subtalar arthroereisis for treatment of children with flexible planovalgus foot deformity and analysis of CT data in long-term period

Leonchuk

Dyachkov

Неретин

et al. 2020

Journal of Orthopaedics

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“…Анализ полученных данных обследования стопы (табл. №2) производили согласно современным референтным линиям и углам данного сегмента [10].…”

Section: рентгенологические особенности стопы у пациентов с врожденной гемимелией малоберцовой костиunclassified

Radiographical Features of Foot in Patients With Congenital Fibular Hemimelia

Leonchuk¹,

academician²,

Неретин³

et al. 2021

Rejr

Self Cite

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urpose. Tibia hemimelia is a congenital disease characterized by partial or complete absence of the fibula, shortening and deformity of the limb, hypoplasia and deformity of the foot. There is controversial opinion that with a deficit of the fibula deficiency of the lateral part of foot should be found. Purpose of the study is to analyze x-ray changes of foot in children with hemimelia (aplasia) of the fibula.Material and methods. We conducted retrospectively-prospective radiographically examination of 39 children (39 feet) with foot hypoplasia in congenital hemimemia of fibula type II according to the Achterman-Kalamchi classification. The mean age of the patients was 5,6 ± 1,0 years (from 4 to 9 years). X-ray data were compared with clinical changes of these patients.Results. In all patients lateral metatarsal bone formed joint with cuboid bone or calcaneocuboid coalition. In 2 cases out of 39 patients varus deviation of foot was detected, which amounted to 5,1%, in other cases valgus deviation of segment was noted. The tarsal coalition was determined in 26 children (66,7% of all cases).Conclusions. Presence of joint between lateral metatarsal and cuboid bones or calcaneocuboid coalition refutes theory in which hemimelia of the fibula necessarily leads to deficiency of lateral part of foot. In our opinion detection of valgus deviation of foot in most children was associated with aplasia of fibula and presence of fibular fibro-cartilaginous remnant. Determination of tarsal coalition in 2/3 of examined patients shows high frequency of this disorder in this patient group and should be taken into account in correction of foot deformity.

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“…У 3 пациентов определялись деформации с варусной девиацией стоп. Все обсле дуемые больные проходили комплексное предопера ционное обследование, включая детальную рентгено метрию стопы согласно современным референтным линиям и углам сегмента [6].…”

Section: материал и методы исследованияunclassified

Study of soft tissue microcirculation in surgical intervention zone before and after single-stage correction of feet multicomponent deformities in patients with cerebral palsy

Щурова

Leonchuk

Popkov

2019

Regional blood circulation and microcirculation

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Introduction. Simultaneous correction of severe deformities of the feet may be accompanied by a negative effect on the trophism of the adjacent soft tissues. However, the literature does not pay enough attention to the analysis of the blood supply to soft-tissue structures in the field of surgical intervention in the correction of complex deformities of the feet. The aim of the study is to investigate condition of soft tissues blood supply in the area of surgery before and after simultaneous correction of severe feet deformities by triple arthrodesis in patients with cerebral palsy.Material and methods. The article is based on the results of study of 21 cerebral palsy patients with multicomponent feet deformities. All patients underwent simultaneous correction of foot deformities with usage of internal fixation. Patients were examined for the soft tissues blood supply (skin, subcutaneous fat, muscles) in the area of surgery using laser and high-frequency Doppler flowmetry before and after performing all phases of foot surgery.Results. Capillary skin blood flow after performing all stages of operation, removing tourniquet and suturing tended to increase in all areas of measurement, but significantly increased on the dorsum of the foot, at points 1 (by 53.3 %, p <0.05), 4 (by 69.0 %, p<0.05), and at point 6 (53.9 %, p <0.05). Indicators of blood flow of subcutaneous fat and muscle tissue after performing all stages of operation and removal of tourniquet did not significantly differ from the preoperative level. In the long-term follow-up period, all examined patients showed good clinical results in 81 % of cases, satisfactory – in 19 % of patients who noted periodic moderate pain in the feet after a long walk. There were no unsatisfactory results.Conclusion. After simultaneous intraoperative correction of severe feet deformities by triple arthrodesis in the area of operative wound in patients with cerebral palsy, there is no decrease in the microcirculatory blood flow in soft tissuesin the surgical intervention area. There is either stabilization or an increase in the perfusion of these structures.

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Modern Referent Lines and Angles in Diagnostic and Treatment of Foot and Ankle Pathology

Cited by 3 publications

References 0 publications

Subtalar arthroereisis for treatment of children with flexible planovalgus foot deformity and analysis of CT data in long-term period

Subtalar arthroereisis for treatment of children with flexible planovalgus foot deformity and analysis of CT data in long-term period

Radiographical Features of Foot in Patients With Congenital Fibular Hemimelia

Study of soft tissue microcirculation in surgical intervention zone before and after single-stage correction of feet multicomponent deformities in patients with cerebral palsy

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