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Talonavicular arthrodesis

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https://www.readbyqxmd.com/read/27903299/arthroscopic-arthrodesis-for-ankle-arthritis-without-bone-graft
#1
Xiaojun Duan, Liu Yang, Li Yin
BACKGROUND: Ankle arthrodesis is considered by many to be the standard operative treatment for end-stage ankle arthritis. The purpose of this study was to perform a new technique for ankle joint surface and determine the outcome for the union rates of ankle arthroscopic arthrodesis. METHODS: A total of 68 patients with posttraumatic arthritis, primary osteoarthritis, and rheumatoid arthritis were treated by ankle arthroscopic arthrodesis between May 2007 and December 2012...
December 1, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27902175/spontaneous-and-bilateral-avascular-necrosis-of-the-navicula-m%C3%A3-ller-weiss-disease
#2
Erdem Aktaş, Tacettin Ayanoğlu, Yasin Hatipoğlu, Ulunay Kanatlı
Although, trauma, foot deformity (pesplanovalgus), systemic diseases such as diabetes mellitus and lupus, drugs (steroids, antineoplastic) and excessive alcohol consumption have all been accused in the etiology of avascular necrosis of the tarsal bones, spontaneous avascular necrosis of the navicular bone, especially in adults, is a rare entity. In this article, we report a 50-year-old female patient with bilateral, spontaneous avascular necrosis of the navicular bone and related severe talonavicular arthrosis...
December 2016: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/27752084/effects-of-five-hindfoot-arthrodeses-on-foot-and-ankle-motion-measurements-in-cadaver-specimens
#3
Kun Zhang, Yanxi Chen, Minfei Qiang, Yini Hao
Single, double, and triple hindfoot arthrodeses are used to correct hindfoot deformities and relieve chronic pain. However, joint fusion may lead to dysfunction in adjacent articular surfaces. We compared range of motion in adjacent joints before and after arthrodesis to determine the effects of each procedure on joint motion. The theory of moment of couple, bending moment and balanced loading was applied to each of 16 fresh cadaver feet to induce dorsiflexion, plantarflexion, internal rotation, external rotation, inversion, and eversion...
October 18, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27614822/increased-failure-rate-of-modified-double-arthrodesis-compared-with%C3%A2-triple-arthrodesis-for-rigid-pes-planovalgus
#4
M Tyrrell Burrus, Brian C Werner, James B Carr, Venkat Perumal, Joseph S Park
For rigid pes planovalgus deformities, modified double and triple arthrodeses have had high union rates and subjective outcomes reported. Increased rates of talonavicular nonunions after modified double arthrodesis have led to concern regarding this procedure. A retrospective medical record review was performed of patients who had undergone either a modified double (n = 9) or triple (n = 7) arthrodesis for stage 3 pes planovalgus deformity. Radiographs were reviewed for hindfoot alignment, bony union, and hardware failure...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27540011/long-term-functional-and-radiographic-outcome-of-a-mobile-bearing-ankle-prosthesis
#5
Yvonne R A Kerkhoff, Nienke M Kosse, Wieneke P Metsaars, Jan Willem K Louwerens
BACKGROUND: Total ankle arthroplasty is an accepted alternative to arthrodesis of the ankle. However, complication and failure rates remain high. Long-term results of the Scandinavian Total Ankle Replacement (STAR) are limited, with variable complication and failure rates observed. This prospective study presents the long-term survivorship and postoperative complications of the STAR prosthesis. METHODS: Between May 1999 and June 2008, 134 primary total ankle arthroplasties were performed using the STAR prosthesis in 124 patients...
December 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27411284/-application-strategy-of-ankle-and-hindfoot-arthrodesis
#6
REVIEW
Benwen Wu, Guofeng Huang, Zhenqi Ding
OBJECTIVE: To summarize the progress in the application of ankle and hindfoot arthrodesis. METHODS: The domestic and foreign related literature about the application of ankle and hindfoot arthrodesis was reviewed, summarized, and analyzed. RESULTS: Ankle and hindfoot arthrodesis include the multi-joint fusion and the single joint fusion, and they involve tibiotalar joint, subtalar joint, talonavicular joint, and calcaneocuboid joint. The methods of fixation include screw, plate, intramedullary nail, and external fixation...
April 2016: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/27354397/multisegment-foot-kinematic-and-kinetic-compensations-in-level-and-uphill-walking-following-tibiotalar-arthrodesis
#7
Dustin A Bruening, Timothy E Cooney, Matthew S Ray, Gregory A Daut, Kevin M Cooney, Stephanie M Galey
BACKGROUND: Foot and ankle movement alterations following ankle arthrodesis are still not well understood, particularly those that might contribute to the documented increase in adjacent joint arthritis. Generalized tarsal hypermobility has long been postulated, but not confirmed in gait or functional movements. The purpose of this study was to more thoroughly evaluate compensation mechanisms used by arthrodesis patients during level and uphill gait through a variety of measurement modalities and a detailed breakdown of gait phases...
June 27, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27291683/dual-window-approach-with-two-side-screw-fixation-for-isolated-talonavicular-arthrodesis
#8
Mathias van den Broek, Geoffroy Vandeputte, Johan Somville
Isolated talonavicular arthrodesis is a commonly performed surgical intervention. Nonunion is a dreaded complication. The aim of the present study was to analyze the clinical and radiologic outcome of talonavicular arthrodesis using a dual approach with 2-side screw fixation. From February 2012 to September 2014, isolated talonavicular arthrodesis was performed on 17 joints of 16 patients (mean age 59.12 years). All procedures were performed by a single surgeon. The incidence of union, visual analog scale scores, and complications were analyzed...
June 9, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27143734/total-ankle-arthroplasty-versus-ankle-arthrodesis-a-comparative-analysis-of-arc-of-movement-and-functional-outcomes
#9
D I Pedowitz, J M Kane, G M Smith, H L Saffel, C Comer, S M Raikin
AIMS: Few reports compare the contribution of the talonavicular articulation to overall range of movement in the sagittal plane after total ankle arthroplasty (TAA) and tibiotalar arthrodesis. The purpose of this study was to assess changes in ROM and functional outcomes following tibiotalar arthrodesis and TAA. PATIENTS AND METHODS: Patients who underwent isolated tibiotalar arthrodesis or TAA with greater than two-year follow-up were enrolled in the study. Overall arc of movement and talonavicular movement in the sagittal plane were assessed with weight-bearing lateral maximum dorsiflexion and plantarflexion radiographs...
May 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27122523/transfibular-ankle-arthrodesis-using-burring-curettage-multiple-drilling-and-fixation-with-two-retrograde-screws-through-a-single-lateral-incision
#10
H J Lee, W K Min, J S Kim, S D Yoon, D H Kim
PURPOSE: To review the outcome of 23 ankle arthrodeses using burring, curettage, multiple drilling, and fixation with 2 retrograde screws through a single lateral incision. METHODS: Records of 22 consecutive patients aged 39 to 79 (mean, 62.4) years who underwent 23 ankle arthrodeses for end-stage ankle arthritis were reviewed. Through a single lateral incision, articular cartilage was removed using burring and curettage, and multiple holes were drilled using a Kirschner wire, followed by fixation with 2 retrograde screws...
April 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27073184/arthroscopic-medial-approach-for-modified-double-arthrodesis-of-the-foot
#11
Eric Shi, Glenn M Weinraub
The single medial incision subtalar joint and talonavicular joint arthrodesis has been shown to be a useful alternative for the correction of hindfoot valgus deformity. We describe an arthroscopic method of joint preparation using this approach. The present case report included 6 consecutive patients aged 35 to 72 (mean ± standard deviation 55.8 ± 15.54) years (4 males [66.7%] and 2 females [33.3%]), who had undergone the medial approach for modified double arthrodesis of the foot. Of the 6 patients, 3 (50...
April 9, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27039315/partial-or-non-union-after-triple-arthrodesis-in-children-does-it-really-matter
#12
Eric D Wicks, Melanie A Morscher, Meadow Newton, Richard P Steiner, Dennis S Weiner
PURPOSE: Triple arthrodesis is a commonly performed salvage procedure to correct hindfoot deformity. Non-union is considered an undesirable radiographic outcome; however, the clinical ramifications of this are not as well defined. The purpose of this study was to determine the incidence of partial or complete radiographic non-union after triple arthrodesis in children and characterize the clinical consequences. METHODS: An IRB-approved retrospective review of triple arthrodesis surgeries in patients less than 16 years of age performed by a single surgeon (DSW) identified 159 cases meeting the inclusion criteria...
April 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27030231/secondary-arthrodesis-after-total-ankle-arthroplasty
#13
Christopher E Gross, John S Lewis, Samuel B Adams, Mark Easley, James K DeOrio, James A Nunley
BACKGROUND: While it is thought that stresses through the subtalar and talonavicular joints will be decreased after total ankle replacement (TAR) relative to ankle fusion, progressive arthritis or deformity of these joints may require a fusion after a successful TAR. However, after ankle replacement, it is unknown how hindfoot biomechanics and blood supply may be affected. Consequently, subsequent hindfoot joint fusion may be adversely affected. METHODS: We retrospectively identified a consecutive series of 1001 primary TARs performed between January 1998 and December 2014...
July 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27030229/isolated-talonavicular-arthrodesis
#14
REVIEW
Shenghui Ma, Dan Jin
No abstract text is available yet for this article.
August 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26991122/use-of-fibula-flaps-to-treat-persistent-talonavicular-nonunion-a-report-of-three-cases
#15
Carles Puente-Alonso, Carmen Higueras-Suñe, Jose A González-Vargas, Cristian Carrasco-López
Owing to the limited blood supply in the midfoot, multiple arthrodesis attempts in midfood joints may result in severe osteonecrosis, leading to a difficult scenario for bone reconstruction. This article describes the use of fibula flaps (two free and one pedicled flap) to reconstruct bone defects in three cases of persistent nonunion in midfoot joints. Before admission, all patients (aged 32-56 years old) had undergone multiple arthrodesis attempts (range 3-4) aimed at treating joint diseases associated with flatfoot or Müller-Weiss syndrome...
March 18, 2016: Microsurgery
https://www.readbyqxmd.com/read/26895361/a-long-term-study-of-the-effect-of-subtalar-arthrodesis-on-the-ankle-and-hindfoot-joints
#16
Chonglin Yang, Xiangyang Xu, Yuan Zhu, Jinhao Liu, Baofu Wei
BACKGROUND: Subtalar arthrodesis is a common therapy for subtalar joint disorders. In this article, we evaluate the effect of subtalar arthrodesis on the ankle and hindfoot joints. METHODS: Fifty patients (33 men and 17 women) underwent subtalar arthrodesis between January 1, 1996, and August 31, 2011. The 36-item Short-Form Health Survey and American Orthopaedic Foot and Ankle Society ankle hindfoot scores were used for clinical evaluation. Radiographic analysis included assessment of degenerative changes and ankle and hindfoot joint function in the frontal and sagittal planes...
January 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/26689585/how-do-hindfoot-fusions-affect-ankle-biomechanics-a-cadaver-model
#17
Ian D Hutchinson, Josh R Baxter, Susannah Gilbert, MaCalus V Hogan, Jeff Ling, Stuart M Saunders, Hongsheng Wang, John G Kennedy
BACKGROUND: While successful subtalar joint arthrodesis provides pain relief, resultant alterations in ankle biomechanics need to be considered, as this procedure may predispose the remaining hindfoot and tibiotalar joint to accelerated degenerative changes. However, the biomechanical consequences of isolated subtalar joint arthrodesis and additive fusions of the Chopart's joints on tibiotalar joint biomechanics remain poorly understood. QUESTIONS/PURPOSES: We asked: What is the effect of isolated subtalar fusion and sequential Chopart's joint fusions of the talonavicular and calcaneocuboid joints on tibiotalar joint (1) mechanics and (2) kinematics during loading for neutral, inverted, and everted orientations of the foot? METHODS: We evaluated the total force, contact area, and the magnitude and distribution of the contact stress on the articular surface of the talar dome, while simultaneously tracking the position of the talus relative to the tibia during loading in seven fresh-frozen cadaver feet...
April 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/26644033/case-series-using-a-novel-implant-and-accelerated-rehabilitation-for-patients-undergoing-an-isolated-talonavicular-arthrodesis
#18
Stephen Joseph Shymon, Lewis Moss, Thomas Gregory Harris
UNLABELLED: Talonavicular (TN) arthrodeses for TN arthritis have a high rate of nonunions for an essential hindfoot joint. In this case series, 12 patients underwent an isolated TN arthrodesis using a novel implant (IO FiX) by a single surgeon with a minimum 1-year follow-up (30.1 ± 14.7 months; mean ± SD). All patients (62 ± 12 years) underwent an aggressive rehabilitation protocol given the strength and compression of the implant. There were no nonunions, nor were there any patients lost to follow-up...
June 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/26241127/a-retrospective-clinical-study-on-37-subtalar-arthrodesis-patients-of-nine-years-follow-up
#19
Xiangyang Xu, Chonglin Yang, Yuan Zhu, Jinhao Liu, Baofu Wei
BACKGROUND: Subtalar arthrodesis is a common therapy for subtalar joint disorders. In this article, we evaluate the effect of subtalar arthrodesis on the ankle and hindfoot joints. METHODS: Fifty patients (33 men and 17 women) underwent subtalar arthrodesis between January 1, 1996, and August 31, 2011. The 36-item Short-Form Health Survey and American Orthopaedic Foot and Ankle Society ankle hindfoot scores were used for clinical evaluation. Radiographic analysis included assessment of degenerative changes and ankle and hindfoot joint function in the frontal and sagittal planes...
August 4, 2015: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/26235855/isolated-talonavicular-joint-arthrodesis-through-minimal-incision-surgery
#20
A Carranza-Bencano, Sergio Tejero, J J Fernández Torres, G Del Castillo-Blanco, A Alegrete-Parra
BACKGROUND: The purpose of this study was to analyze bony fusion and functional outcomes after talonavicular arthrodesis (TNA) using an original minimally invasive surgery (MIS). METHODS: There was a total of 11 feet in 11 patients who underwent TNA and were followed up for 47 months (range 40.8-53.1). Functional outcomes were measured by AOFAS and quality of life by eight sections of SF-36. RESULTS: Radiographic and clinical consolidation was achieved in 10 of 11 cases...
September 2015: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
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