AAFD: Conventional Radiographs are not Enough! I Need the Third Dimension

Alessio Bernasconi; Cesar de Cesar Netto; Alexej Barg; Arne Burssens; Martinus Richter; François Lintz

doi:10.1097/BTF.0000000000000234

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AAFD: Conventional Radiographs are not Enough! I Need the Third Dimension

Journal article

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AAFD: Conventional Radiographs are not Enough! I Need the Third Dimension

Alessio Bernasconi, Cesar de Cesar Netto, Alexej Barg, Arne Burssens, Martinus Richter and François Lintz

Techniques in foot & ankle surgery, Vol.18(3), pp.109-115

09/2019

DOI: 10.1097/BTF.0000000000000234

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Abstract

There is an increasing amount of literature suggesting that 3-dimensional (3D) weight-bearing computed tomography (WBCT) imaging overcomes the inherent limits of traditional bidimensional imaging in foot and ankle surgery. This seems to have a significant impact on the study and on the clinical management of adult acquired flatfooot deformity (AAFD) that by definition is a 3D complex deformity. In this study, we reviewed the recent literature about the use of WBCT in AAFD, starting from a critical analysis about the biases related to conventional radiography and to non-standing CT. Then, we focused on the effects of load on the 3D architecture of the foot and ankle in AAFD. Finally, we discussed the benefits and future perspectives for the use of WBCT in the management of this condition and as a surgical planning tool as well.Level of EvidenceDiagnostic Level V, expert opinion. See Instructions for Authors for a complete description of levels of evidence.

Details

Title: Subtitle: AAFD: Conventional Radiographs are not Enough! I Need the Third Dimension
Creators: Alessio Bernasconi - Foot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, UK
Cesar de Cesar Netto - Department of Orthopaedic Surgery, Medstar Union Memorial Hospital, Baltimore, MD
Alexej Barg - Department of Orthopaedics, University of Utah, Salt Lake City, UT
Arne Burssens - Department of Orthopaedics, University of Utah, Salt Lake City, UT
Martinus Richter - Department for Foot and Ankle Surgery Nuremberg and Rummelsberg, Schwarzenbruck, Germany
François Lintz - Clinique de l’Union, Ankle and Foot Surgery Center, Saint-Jean, France
Resource Type: Journal article
Publication Details: Techniques in foot & ankle surgery, Vol.18(3), pp.109-115
DOI: 10.1097/BTF.0000000000000234
ISSN: 1536-0644
eISSN: 1538-1943
Publisher: Wolters Kluwer Health, Inc.
Language: English
Date published: 09/2019
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040477802771

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