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首页> 外文期刊>Journal of orthopaedic research >Passive engineering mechanism enhancement of a flexor digitorum longus tendon transfer procedure
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Passive engineering mechanism enhancement of a flexor digitorum longus tendon transfer procedure

机译:无源工程机制增强屈肌Digitorum Longus Tenton转移程序

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摘要

Standard treatments of adult acquired flatfoot deformity (AAFD) fail to correct associated dysfunction of the posterior tibial tendon (PTT). This study aimed to determine if a novel passive engineering mechanism (PEM) enhanced flexor digitorum longus (FDL) tendon transfer procedure would better restore physiologic PTT function to improve AAFD gait parameters compared to standard treatment. We evaluated the kinetic, pedobarographic, and kinematic effects of a pulley-based PEM-enhancement system utilizing a cadaveric flatfoot model and robotic gait simulator. FDL tendon force, FDL tendon excursion, regional peak plantar pressures, center of pressure, and foot bone/joint motions were quantified. Throughout the stance phase of gait, PEM-enhancement significantly increased FDL tendon forces, resulting in gait cycle medial column unloading, lateral column loading, forefoot adduction, hindfoot inversion, and increased plantar flexion (p 0.05). This proof-of-concept study demonstrated that an innovative PEM-enhanced FDL tendon transfer procedure better restored physiologic PTT function, resulting in improved correction of the distinctive AAFD gait characteristics-medial column collapse, hindfoot eversion, and forefoot abduction. Clinical significance: Novel PEM-enhancement of a FDL tendon transfer procedure holds promise as a method for improved treatment of AAFD. (c) 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:3033-3042, 2018.
机译:成人获得的Flatfoot畸形(AAFD)的标准治疗不能纠正后胫骨肌腱(PTT)的相关功能障碍。本研究旨在确定一种新型被动工程机制(PEM)增强型屈肌Digitorum Longus(FDL)肌腱转移程序将更好地恢复生理PTT功能,以改善AAFD步态参数与标准治疗相比。我们评估了利用尸体Flatfoot模型和机器人步态模拟器的滑轮基PEM增强系统的动力学,派对和运动学效果。 FDL肌腱力,FDL肌腱偏移,区域峰值跖压,压力中心和脚骨/关节运动得到量化。在步态的姿势阶段,PEM-Enhancement显着增加了FDL肌腱力量,导致步态循环内侧柱卸载,侧柱载荷,前足内收,Hindfoot倒置和增加的跖屈(P <0.05)。这种概念证明研究表明,一种创新的PEM增强FDL肌腱转移程序更好地恢复了生理PTT功能,导致校正独特的AAFD步态特征 - 内侧柱塌陷,Hindfoot Eversion和Forefoot绑架。临床意义:新型PEM - 增强FDL肌腱转移程序的增强占据了一种改进AAFD治疗方法的承担。 (c)2018年骨科研究会。由Wiley期刊出版,Inc。J Orthop Res 36:3033-3042,2018。

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