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Information is limited about the relationships between clinical measures of static foot posture and peak plantar pressures under the medial column of the foot.
The screws were placed up the medial column of the elbow, avoiding the olecranon fossa.
This case suggests that particular attention must be paid when inserting the screw, as it must be placed up the medial column of the elbow, avoiding the olecranon fossa, and any eventual screw tip protrusion must be checked for by monitoring different fluoroscopic projections.
Sagittal plane motion of the medial column of the foot is essential for normal gait.
This observation explains the increased stress in the medial column of the foot that we measured in our experiments.
The change seen after arthrodesis was a tendency of relocation of average force and maximum pressure from the lateral onto the medial column of the foot.
Similar(47)
Recently, much attention has been paid to the importance of the medial column for maintaining stable fixation of proximal humerus fractures [ 9, 13- 17, 24- 27].
All the indexes showed that both types of arthroereisis can lower the plantar pressure and the strain of the medial ligaments that support the medial longitudinal arch and can shift the load of the medial column to the lateral column.
Anatomic reduction and restoration of the medial calcar allow the medial column to both buttress and reduce the stresses of laterally-based plate fixation.
We believe that the medial approach prevents iatrogenic ulnar nerve injuries, it gives a good vision ensuring the restoration of the medial column, and it is a method of the least incisional scar.
Proper patient selection is critical, because preoperative findings of medial column joint instability, concomitant hallux valgus deformity, or degenerative joint disease of the medial column might be better treated with arthrodesis of the naviculocuneiform or first tarsometatarsal joints.
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