Foot and Ankle Surgery
Volume 15, Issue 4 , Pages 198-204, December 2009

Is intraoperative pedography helpful in clinical use—Preliminary results of 100 cases from a consecutive, prospective, randomized, controlled clinical study

  • Martinus Richter

      Affiliations

    • Corresponding Author InformationCorresponding author at: Klinik für Unfallchirurgie, Orthopädie und Fusschirurgie, Klinikum Coburg, Ketschendorfer Str. 33, 96450 Coburg, Germany. Tel.: +49 700 3877 872862; fax: +49 700 3877 872862.
    web address
    • ,
  • Stefan Zech

Department for Trauma, Orthopaedic and Foot Surgery, Coburg Clinical Center, Coburg, Germany

Received 25 August 2008; received in revised form 24 January 2009; accepted 31 March 2009. published online 04 May 2009.

Abstract 

Background

The purpose of this study was to assess the clinical use, and to analyze the potential clinical benefit of intraoperative pedography (IP) in a sufficient number of cases in comparison with cases treated without IP.

Methods

Patients (age 18 years and older) which sustained an arthrodesis and/or correction of the foot and ankle were included.

Results

One hundred cases were included (ankle correction arthrodesis, n=12; subtalar joint correction arthrodesis, n=14; arthrodesis without correction midfoot, n=15; correction arthrodesis midfoot, n=26; correction forefoot, n=33). Fifty-two patients were randomized for the use of IP. In 24 of the 52 patients (46%), the correction was modified after IP during the same operation.

Conclusions

In 46% of the cases a modification of the surgical correction was made after IP in the same surgical procedure. Whether IP improve the plantar force distribution of the foot and the mid- or long-term clinical outcome has to be critically analyzed when longer follow-up is completed.

Keywords: Pedography, Intraoperative Pedography (IP), Correction, Arthrodesis, Plantar force distribution

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PII: S1268-7731(09)00032-0

doi:10.1016/j.fas.2009.03.002

Foot and Ankle Surgery
Volume 15, Issue 4 , Pages 198-204, December 2009

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