advertising
-
1.
Schlefman, BS, CF Fenton III, and ED McGlamry. :Peg in hole arthrodesis. .JAPA 73::187. ,1983. .
-
2.
Chuinard, EG and M Baskin. :Claw-foot deformity: treatment by transfer of the long extensors into the metatarsals and fusion of the interphalangeal joints. .J Bone Joint Surg Am 55::351. ,1973. .
-
3.
Coughlin, M . :Lesser-toe abnormalities. .J Bone Joint Surg Am 84::1446. ,2002. .
-
4.
Barbari, SG and K Brevig. :Correction of clawtoes by the Girdlestone-Taylor flexor-extensor transfer procedure. .Foot Ankle 5::67. ,1984. .
-
5.
Cyphers, SM and E Feiwell. :Review of the Girdlestone-Taylor procedure for clawtoes in myelodysplasia. .Foot Ankle 8::229. ,1988. .
-
6.
Lutter, L . : “Toe Deformities. ,” inAtlas of Adult Foot and Ankle Surgery. , Vol1:, p74. ,Mosby-Yearbook. ,St. Louis. ,1997. .
-
7.
Newman, RJ and JM Fitton. :An evaluation of operative procedures in the treatment of hammer toe. .Acta Orthop Scand 50::709. ,1979. .
-
8.
Parrish, TF . :Dynamic correction of clawtoes. .Orthop Clin North Am 4::97. ,1973. .
-
9.
Pyper, JB . :The flexor-extensor transplant operation for claw toes. .J Bone Joint Surg Br 40::528. ,1958. .
-
10.
Taylor, RG . :The treatment of claw toes by multiple transfers of flexor into extensor tendons. .J Bone Joint Surg Br 33::539. ,1951. .
-
11.
Coughlin, M and R Mann. : “Lesser Toe Deformities. ,” inSurgery of the Foot and Ankle. , Vol1:, edited byCoughlin, M and R Mann. , p320. ,Mosby-Yearbook. ,St. Louis. ,1999. .
-
12.
Becerro de Bengoa Vallejo, R, F Viejo Tirado, JC Prados Frutos, et al. :Transfer of the flexor digitorum brevis tendon. .JAPMA 98::27. ,2008. .
-
13.
Lamm, BM, CE Ribeiro, TC Vlahovic, et al. :Lesser proximal interphalangeal joint arthrodesis: a retrospective analysis of the peg-in-hole and end-to-end procedures. .JAPMA 91::331. ,2001. .
-
14.
McGlamry, ED . : “Lesser Ray Deformities. ,” inComprehensive Textbook of Foot Surgery. , Vol1:, edited byMcGlamry, ED. , p78. ,Williams & Wilkins. ,Baltimore. ,1987. .
-
15.
Miller, SJ . :Hammer toe correction by arthrodesis of the proximal interphalangeal joint using a cortical bone allograft pin. .JAPMA 92::563. ,2002. .
-
16.
Monson, DK, TR Buell, and BL Scurran. :Lesser digital arthrodesis. .Clin Podiatr Med Surg 3::347. ,1986. .
-
17.
Patton, GW, MW Shaffer, and DP Kostakos. :Absorbable pin: a new method of fixation for digital arthrodesis. .J Foot Surg 29::122. ,1990. .
-
18.
Reese, A, M Stone, and A Young. :Toe fusion using Kirschner wire: a study of the postoperative infection rate and related problems. .J R Coll Surg Edinb 32::158. ,1987. .
-
19.
Boyer, ML and JK DeOrio. :Transfer of the flexor digitorum longus for the correction of lesser-toe deformities. .Foot Ankle Int 28::422. ,2007. .
-
20.
Bayod, J, M Losa Iglesias, R Becerro de Bengoa Vallejo, et al. :Advantages and drawbacks of proximal interphalangeal joint fusion versus flexor tendon transfer in the correction of hammer and claw toe deformity: a finite element study. .J Biomech Eng 132::0510021. ,2010. .
-
21.
Garcia-Gonzalez, A, J Bayod, JC Prados Frutos, et al. :Finite-element simulation of flexor digitorum longus or flexor digitorum brevis tendon transfer for the treatment of claw deformity. .J Biomech 42::1697. ,2009. .
-
22.
Bandak, F, R Tannous, and T Toridis. :On the development of an osseo-ligamentous finite element model of the human ankle joint. .Int J Solids Structures 38::1681. ,2001. .
-
23.
Cheung, JT, M Zhang, AK Leung, et al. :Three-dimensional finite element analysis of the foot during standing: a material sensitivity study. .J Biomech 38::1045. ,2005. .
-
24.
Gefen, A, M Megido-Ravid, Y Itzchak, et al. :Biomechanical analysis of the three-dimensional foot structure during gait: a basic tool for clinical applications. .J Biomech Eng 122::630. ,2000. .
-
25.
Gefen, A . :Stress analysis of the standing foot following surgical plantar fascia release. .J Biomech 35::629. ,2002. .
-
26.
Garcia-Aznar, JM, JH Kuiper, MJ Gomez-Benito, et al. :Computational simulation of fracture healing: influence of interfragmentary movement on the callus growth. .J Biomech 40::1467. ,2007. .
-
27.
Rouviere, H and A Delmas. : “Anatomiá del Pie. ,” inAnatomia Humana Descriptiva, Topografica y Funcional. , Vol3:, p540. ,Masson. ,Barcelona. ,1999. .
-
28.
Gilles, GA, KJ Dennis, and LB Harkless. :Periostitis associated with phenol matricectomies. .JAPMA 76::469. ,1986. .
-
29.
Barbari, SG and K Brevig. :Correction of clawtoes by the Girdlestone-Taylor flexor-extensor transfer procedure. .Foot Ankle 5::67. ,1984. .
-
30.
Mafulli, N, B Datta, M Neil, et al. :Mechanical properties of human flexor hallucis longus, peroneus, brevis and Achilles tendon. .J Bone Joint Surg Am 90::494. ,2006. .
-
31.
Gefen, A, M Megido-Ravid, Y Itzchak, et al. :Biomechanical analysis of the three-dimensional foot structure during gait: a basic tool for clinical applications. .J Biomech Eng 122::630. ,2000. .
-
32.
Kitaoka, HB, ZP Luo, and KN An. :Three-dimensional analysis of normal ankle and foot mobility. .Am J Sports Med 25::238. ,1997. .
-
33.
McBryde Jr, AM . :Stress fractures in runners. .Clin Sports Med 4::737. ,1985. .
-
34.
Stauffer, RN, EY Chao, and RC Brewster. :Force and motion analysis of the normal, diseased, and prosthetic ankle joint. .Clin Orthop Relat Res 127::189. ,1977. .
-
35.
Stein, E and C Olgierd. .Zienkiewicz: a pioneer in the development of the finite element method in engineering science. .Steel Construction 2::264. ,2009. .
-
36.
Babuska, I, U Banerjee, and JE Osborn. :Generalized finite element methods: main ideas, results, and perspective. .Int J Comput Methods 1::67. ,2004. .
-
37.
Reddy, J . : “Interpolation Functions, Numerical Integration and Modeling Considerations. ,” inAn Introduction to the Finite Element Method, ,3rd Ed. , edited byReddy, J. , p423. ,McGraw Hill. ,New York. ,2005. .
-
38.
Turner, M, H Clough, L Martin, et al. :Stiffness and deflection analysis of complex structures. .J Aeronaut Sci 23::805. ,1956. .
-
39.
Rees, D . : “Strain Analysis. ,” inBasic Engineering Plasticity: An Introduction with Engineering and Manufacturing Applications. , edited byRess, D. , p33. ,Butterworth-Heinmann. ,Oxford. ,2006. .
-
40.
Brudvig, TJ, TD Gudger, and L Obermeyer. :Stress fractures in 295 trainees: a one-year study of incidence as related to age, sex, and race. .Mil Med 148::666. ,1983. .
-
41.
Brukner, P and K Bennell. :Stress fractures in female athletes: diagnosis, management and rehabilitation. .Sports Med 24::419. ,1997. .
-
42.
Carter, DR and WC Hayes. :Compact bone fatigue damage: I. Residual strength and stiffness. .J Biomech 10::325. ,1977. .
-
43.
Carter, DR, WE Caler, DM Spengler, et al. :Fatigue behavior of adult cortical bone: the influence of mean strain and strain range. .Acta Orthop Scand 52::481. ,1981. .
-
44.
Schaffler, MB, EL Radin, and DB Burr. :Mechanical and morphological effects of strain rate on fatigue of compact bone. .Bone 10::207. ,1989. .
-
45.
Martin, B . :Mathematical model for repair of fatigue damage and stress fracture in osteonal bone. .J Orthop Res 13::309. ,1995. .
-
46.
Caler, WE and DR Carter. :Bone creep-fatigue damage accumulation. .J Biomech 22::625. ,1989. .
-
47.
Carter, DR and WE Caler. :Cycle-dependent and time-dependent bone fracture with repeated loading. .J Biomech Eng 105::166. ,1983. .
-
48.
Mauch, M, JD Currey, and AJ Sedman. :Creep fracture in bones with different stiffnesses. .J Biomech 25::11. ,1992. .
-
49.
Devas, M . :Stress Fractures. ,Churchill Livingstone. ,New York. ,1982. .
Stress at the Second Metatarsal Bone After Correction of Hammertoe and Claw Toe Deformity
A Finite Element Analysis Using an Anatomical Model
Centro de Investigación Biomé dica en Red en Bioingeniería, Biomateriales y Nanomedicina, Zaragoza, Spain.
Search for other papers by Javier Bayod in
Current site
Google Scholar
PubMed
Search for other papers by Ricardo Becerro de Bengoa Vallejo in
Current site
Google Scholar
PubMed
Search for other papers by Marta Elena Losa Iglesias in
Current site
Google Scholar
PubMed
Search for other papers by Manuel Doblaré in
Current site
Google Scholar
PubMed
Background:
We used finite element analysis to evaluate three techniques for the correction of hammertoe and claw toe deformities: flexor digitorum longus tendon transfer (FDLT), flexor digitorum brevis tendon transfer (FDBT), and proximal interphalangeal joint arthrodesis (PIPJA).
Methods:
We performed a finite element analysis of FDLT and FDBT compared with PIPJA of the second toe using multislice computed tomography and 93 tomographic images of the foot obtained in a healthy 36-year-old man.
Results:
The PIPJA showed a significantly higher increase in traction and compressive stresses and strain at the medial aspect of the shaft of the second metatarsal bone compared with FDLT or FDBT (P < .01). Mean ± SD compressive stresses increased to −4.35 ± 7.05 MPa compared with the nonsurgical foot (−3.10 ± 4.90 MPa). It can, therefore, be hypothesized that if PIPJA is used to correct the hammertoe and claw toe deformities, it could also increase traction and compressive stresses and strain in the metatarsals during running and other vigorous activities.
Conclusions:
There is a biomechanical advantage to performing FDLT or FDBT instead of PIPJA to surgically treat a hammertoe or claw toe deformity. In addition, tensile strain at the dorsal aspect of the second metatarsal bone when performing PIPJA increases the risk of metatarsalgia or stress fracture in patients at risk. (J Am Podiatr Med Assoc 103(4): 260–273, 2013)
advertising
