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Minimally Invasive Approach for the Treatment of Non- Isolated Congenital Vertical Talus by Ornusa Chalayon, Amelia Adams, and Matthew B. Dobbs J Bone.

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Presentation on theme: "Minimally Invasive Approach for the Treatment of Non- Isolated Congenital Vertical Talus by Ornusa Chalayon, Amelia Adams, and Matthew B. Dobbs J Bone."— Presentation transcript:

1 Minimally Invasive Approach for the Treatment of Non- Isolated Congenital Vertical Talus by Ornusa Chalayon, Amelia Adams, and Matthew B. Dobbs J Bone Joint Surg Am Volume 94(11):e73 June 6, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

2 Lateral plantar flexion radiograph showing persistent dorsal translation of the forefoot on the hindfoot. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

3 Lateral dorsiflexion radiograph showing persistent plantar flexion of the talus and the calcaneus. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

4 Anteroposterior radiograph of a foot with vertical talus at presentation illustrating measurement of the anteroposterior talocalcaneal angle (1) and the anteroposterior talar axis-first metatarsal angle (2). Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

5 Lateral plantar flexion radiograph of a foot with vertical talus at presentation illustrating measurement of the lateral talar axis-first metatarsal base angle (formed by the intersection of a line drawn through the axis of the talus and a line drawn from t... Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

6 Illustration of the direction of forces applied to reduce the vertical talus deformity. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

7 At the age of three months, before correction of the deformity, the plantar aspect of the patient’s foot is convex and there is fixed forefoot adduction. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

8 Five years after correction of the vertical talus, the patient demonstrates neutral alignment of the hindfeet in stance. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

9 A lateral standing radiograph demonstrates normal relationships between the talus and the first metatarsal, between the talus and the calcaneus, and between the tibia and the calcaneus. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.


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