Medial Column Biomechanics: Nonsurgical and Surgical Implications.
Clinics in podiatric medicine and surgery
Arthrodesis; Flatfoot; Foot Joints; Foot Orthoses; Humans; Osteotomy; Tarsal Bones
Understanding of medial column biomechanics is paramount to a successful outcome in both conservative and surgical treatment. Dysfunctions of the dynamic stabilizers as well as the static stabilizers of the medial column play a role in pathomechanics. Conservative options for addressing the medial column include custom foot orthotics and bracing. Options for addressing the medial column surgically with the goal to restore a stable tripod configuration, include first tarsometatarsal joint arthrodesis, opening plantarflexory medial cuneiform osteotomy, and naviculocuneiform arthrodesis.
Orthopedics & Sports Medicine
Chan, Francis; Bowlby, Melinda A; and Christensen, Jeff C, "Medial Column Biomechanics: Nonsurgical and Surgical Implications." (2020). Articles, Abstracts, and Reports. 2853.