Instabilität und Deformität in der Naviculo-Cuneiforme-Gelenklinie - fußchirurgische Bedeutung und eigene Beobachtungen bei Planovalgus-Korrekturen

Excessive eversion of the hindfoot complex and insufficiency of the medial ray are the most important pathomorphological findings in planovalgus foot deformity. Both regions should be included when surgical stabilization is considered. Most frequently instability of the medial ray is located at the naviculo-cuneiforme joint line. Stabilization of this joint complex can be achieved by open wedge osteotomy of the cuneiforme bones or fusion. Examples are presented, that demonstrate importance and interrelations of surgical combinations for successful stabilization.