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    this study aims to develop a comprehensive 3D FE model of the foot to investigate the effect of soft tissue stiffness on the plantar pressure distributions and the internal load transfer between bony structures. the stress shielding occurring on the plantar surface of a flatfoot was investigated and compared with the mechanical behavior of a healthy foot, trough baropodometric analyses and the FE models. the flatfoot evidences a more intensive stress-shielding map with significant values of pressure acting on the medial plantar fascia. Clinically and radiographically, symptomatic adult flatfoot is a complex abnormality involving all three dimensions and multiple joints within the foot.


    V Filardi. Flatfoot and normal foot a comparative analysis of the stress shielding. Journal of orthopaedics. 2018 Sep;15(3):820-825

    PMID: 30140126

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