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FIGURE 83.35
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A, Patient with sag at naviculocuneiform and first tarsometatarsal joints; lateral process of talus is abutting anterior process of calcaneus. B, Varus of first metatarsal is consistent with instability of first tarsometatarsal joint; subluxation of talonavicular joint also is present. C, Lateral view 6 months after medial column arthrodesis shows improvement in talometatarsal angle and opening of sinus tarsi. D, Anteroposterior view shows improved talonavicular coverage.

出典

img 1:  (From Greisberg J, Assal M, Hansen ST Jr, Sangeorzan BJ: Isolated medial column stabilization improves alignment in adult-acquired flatfoot, Clin Orthop Relat Res 435:197, 2005.) SEE TECHNIQUE 83.9.