Influence of Isolated Talonavicular and Subtalar Joint Arthrodesis on Hindfoot Kinematics and Range of Motion During Cadaveric Gait Simulation.

BACKGROUND: Isolated subtalar and talonavicular joint arthrodeses have been associated with adjacent joint arthritis and altered hindfoot kinematics during simplified loading scenarios. However, the effect on kinematics during dynamic activity is unknown. This study assessed changes in subtalar and talonavicular kinematics after isolated talonavicular (TNiso) and subtalar (STiso) arthrodesis, respectively, during stance simulations. METHODS: Fourteen midtibia specimens received either a TNiso or STiso arthrodesis, with 7 randomized to each group. A 6-degree-of-freedom robot sequentially simulated the stance phase for the intact and arthrodesis conditions. Bootstrapped bias-corrected 95% CIs of the talonavicular and subtalar joint kinematics were calculated and compared between conditions. RESULTS: The TNiso decreased subtalar inversion, adduction, and plantarflexion in late stance (P < .05). The subtalar range of motion in the sagittal and coronal planes decreased by 40% (P = .009) and 46% (P = .002), respectively. No significant changes in talonavicular joint kinematics were observed after isolated subtalar arthrodesis; however, the range of motion was reduced by 61% (P = .007) and 50% (P = .003) in the coronal and axial planes, respectively. CONCLUSION: In this model for arthrodesis, changes in subtalar kinematics and motion restriction were observed after isolated talonavicular arthrodesis, and motion restriction was observed after isolated subtalar arthrodesis. Surprisingly, talonavicular kinematics did not appear to change after isolated subtalar arthrodesis. CLINICAL RELEVANCE: Both joint fusions substantially decrease the motion of the reciprocal adjacent joint. Surgeons should be aware that the collateral costs with talonavicular fusion appear higher, and it has a significant effect on subtalar kinematics during the toe-off phase of gait.

Hindfoot Arthrodeses and the Order of Joint Fixation Influence Tibiotalar Kinematics During Simulated Stance.

BACKGROUND: Although hindfoot arthrodeses relieve pain and correct deformity, they have been associated with progressive tibiotalar degeneration. The objective was to quantify changes in tibiotalar kinematics after hindfoot arthrodeses, both isolated subtalar and talonavicular, as well as double arthrodesis, and to determine if the order of joint fixation affects tibiotalar kinematics. METHODS: Hindfoot arthrodeses were performed in 14 cadaveric mid-tibia specimens. Specimens randomly received isolated fixation of the subtalar or talonavicular joint first, followed by fixation of the remaining joint for the double arthrodesis. A 6-degree-of-freedom robot sequentially simulated the stance phase of level walking for intact, isolated, and double arthrodesis conditions. Tibiotalar kinematic changes were compared for the intact and arthrodesis conditions. A subsequent analysis assessed the effect of the joint fixation order on tibiotalar kinematics. RESULTS: Isolated and double hindfoot arthrodeses increased tibiotalar plantarflexion, inversion, and internal rotation during late stance. Tibiotalar kinematics changes occurring after isolated arthrodesis remained consistent after the double arthrodesis for both the subtalar- and talonavicular-first conditions. The order of joint fixation influenced tibiotalar kinematics through some portions of stance, where the talonavicular-first double arthrodesis increased tibiotalar plantarflexion, eversion, and internal rotation compared to the subtalar-first double. CONCLUSION: Tibiotalar kinematics were modestly altered for all conditions, both isolated and double hindfoot arthrodeses. Changes in tibiotalar kinematics were consistent from the isolated to the double arthrodesis conditions and varied depending on which isolated hindfoot arthrodesis was performed first. Further research is needed to assess the clinical implications of the observed changes in tibiotalar kinematics, particularly as it pertains to the development of adjacent joint arthritis. CLINICAL RELEVANCE: These findings may correlate with clinical research that has cited hindfoot arthrodesis as a risk factor for adjacent tibiotalar arthritis. Once either the subtalar or talonavicular joint is fused, avoiding the arthrodesis of the second joint may not necessarily protect the tibiotalar joint.

A short review: Comparisons of high-throughput phenotyping methods for detecting drought tolerance

Drought is a major threat worldwide for crop production, especially due to the rapid climate changes. Current drought solutions involve improving irrigation system, rainwater harvesting, damming, cloud seeding, and changes of cultivation methods. Despite effective, each solution has economic, environmental, and temporal drawbacks. Among all solutions, the most effective, inexpensive and manageable method is the use of drought-tolerant cultivars via plant breeding. However, conventional plant breeding is a time-consuming and laborious task, especially for phenotypic data acquisition of target traits of numerous progenies. High-throughput phenotyping (HTP) is a recently developed method and has potential to overcome the mentioned issues. HTP offers massive, accurate, rapid, and automatic data acquisition in the breeding procedure and can be a breakthrough for developing drought resistant/tolerant cultivars. This study introduces various methods of HTP to detect drought stress, which can accelerate the breeding processes of drought-tolerant cultivars to provide helpful guidelines for breeders and researchers to choose appropriate methods.

A short review: Comparisons of high-throughput phenotyping methods for detecting drought tolerance

Drought is a major threat worldwide for crop production, especially due to the rapid climate changes. Current drought solutions involve improving irrigation system, rainwater harvesting, damming, cloud seeding, and changes of cultivation methods. Despite effective, each solution has economic, environmental, and temporal drawbacks. Among all solutions, the most effective, inexpensive and manageable method is the use of drought-tolerant cultivars via plant breeding. However, conventional plant breeding is a time-consuming and laborious task, especially for phenotypic data acquisition of target traits of numerous progenies. High-throughput phenotyping (HTP) is a recently developed method and has potential to overcome the mentioned issues. HTP offers massive, accurate, rapid, and automatic data acquisition in the breeding procedure and can be a breakthrough for developing drought resistant/tolerant cultivars. This study introduces various methods of HTP to detect drought stress, which can accelerate the breeding processes of drought-tolerant cultivars to provide helpful guidelines for breeders and researchers to choose appropriate methods.(AU)