Effect of a sequential plantar fasciotomy on the width of the forefoot

Autor: F. Bodem, A. Meurer, J. Heine, Ute Waldecker, E. Roth
Rok vydání: 2005
Předmět:
Zdroj: Foot and Ankle Surgery. 11:207-210
ISSN: 1268-7731
Popis: The effect of a sequential proximal fascial release on the width of the forefoot was studied in 6 cadaveric feet. Six adult below knee cadaver specimens were axially loaded to 900N. The plantar fascia was sectioned sequentially (a third, half, complete release) from medial to lateral. After each sectioning a radiographic dorsoplantar view of the forefoot was obtained and radiologic parameters were determined. No significant change of values was seen in the hallux valgus angle, the proximal articular set angle and the intermetatarsal angle 1/5. However, a progressive increase of the intermetatarsal angle was determined during sequential sectioning of the fascia ( p =0.56). The increase of the IM angle for a static test indicates a stronger stabilizing effect on the plantar plate of the first two rays compared to the lateral forefoot. However, the overall effect of the plantar fascial release on the structure of the forefoot is not significant.
Databáze: OpenAIRE