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Talonavicular arthrodesis

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https://www.readbyqxmd.com/read/28583192/isolated-talonavicular-arthrodesis-and-talonavicular-cuneiform-arthrodesis-for-the-m%C3%A3-ller-weiss-disease
#1
Hong-Hui Cao, Wei-Zhong Lu, Kang-Lai Tang
BACKGROUND: The study aimed to introduce the isolated talonavicular and talonavicular-cuneiform arthrodesis for the stage III and IV Müller-Weiss disease and analyze their clinical outcomes. METHODS: Thirty patients of stage III and IV Müller-Weiss disease were divided into the talonavicular (TN) arthrodesis group and the talonavicular-cuneiform (TNC) arthrodesis group according to the perinavicular osteoarthritis by MRI scans. For the isolated talonavicular arthrodesis group, 16 patients underwent talonavicular arthrodesis with two 4...
June 5, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28576193/hindfoot-arthrodesis-for-the-elective-and-posttraumatic-foot-deformity
#2
REVIEW
John J Stapleton, Thomas Zgonis
Triple (talonavicular, subtalar, and calcaneocuboid) joint arthrodesis and most recently double (talonavicular and subtalar) joint arthrodesis have been well proposed in the literature for surgical repair of the elective, posttraumatic, and/or neuropathic hindfoot deformities. The articulation of the hindfoot with the ankle and midfoot is multiaxial, and arthrodesis of these joints can significantly alter the lower extremity biomechanical manifestations by providing anatomic correction and alignment. This article reviews the indications and preoperative planning for some of the most common procedures to address the hindfoot deformity...
July 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28502347/ankle-arthrodesis-versus-total-ankle-arthroplasty
#3
REVIEW
Joel Morash, David M Walton, Mark Glazebrook
Reoperation rates are higher in total ankle arthroplasties (TAAs) compared with ankle arthrodesis. Infection rates for primary TAAs are 1.4% to 2.4%. The survival rate of TAA is approximately 75% to 90% at 10 years. Arc of motion is maintained with TAAs compared with ankle arthrodesis. Ankle arthrodesis increases arc of motion through the talonavicular joint. Several factors are strong reasons to favor ankle fusion rather than TAA. TAA and ankle arthrodesis are effective treatments of end-stage ankle arthritis but the choice must be tailored to individual patients...
June 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28114949/individual-headless-compression-screws-fixed-with-three-dimensional-image-processing-technology-improves-fusion-rates-of-isolated-talonavicular-arthrodesis
#4
Mei-Ming Xie, Kang Xia, Hong-Xin Zhang, Hong-Hui Cao, Zhi-Jin Yang, Hai-Feng Cui, Shang Gao, Kang-Lai Tang
BACKGROUND: Screw fixation is a typical technique for isolated talonavicular arthrodesis (TNA), however, no consensus has been reached on how to select most suitable inserted position and direction. The study aimed to present a new fixation technique and to evaluate the clinical outcome of individual headless compression screws (HCSs) applied with three-dimensional (3D) image processing technology to isolated TNA. METHODS: From 2007 to 2014, 69 patients underwent isolated TNA by using double Acutrak HCSs...
January 23, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28110796/effectiveness-of-hindfoot-arthrodesis-by-stable-internal-fixation-in-various-eichenholtz-stages-of-neuropathic-ankle-arthropathy
#5
Silvampatty R Sundararajan, Kanchana P Srikanth, Handenahally S Nagaraja, Shanmuganathan Rajasekaran
The optimal time to treat neuropathic (Charcot) arthropathy of the ankle and peritalar joint is controversial because of the various treatment options available and the variable results reported in published studies. We sought to determine the outcome of hind foot arthrodesis with stable internal fixation in patients with different Eichenholtz stages of arthropathy. We prospectively studied patients with substantial disabilities caused by neuropathic arthropathy in deformed, unstable ankle and peritalar joints, with or without ulcerations, who had undergone treatment from July 2007 to December 2012...
March 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28103893/open-triple-fusion-versus-tnc-arthrodesis-in-the-treatment-of-mueller-weiss-disease
#6
COMPARATIVE STUDY
Hongtao Zhang, Junkun Li, Yusen Qiao, Jia Yu, Yu Cheng, Yan Liu, Chao Gao, Jiaxin Li
BACKGROUND: Mueller-Weiss disease is a rarely diagnosed deformity where the navicular bone undergoes spontaneous osteonecrosis in adults. Until now, there is no widely accepted operative treatment for this unusual disease. We aimed to compare clinical and radiological outcomes between the open triple fusion and talonavicular-cuneiform arthrodesis for Mueller-Weiss disease of stage 4. METHODS: During the period from February 2012 to June 2016, 10 patients (11 feet) suffering from Mueller-Weiss disease of stage 4 were treated by the same senior surgeon...
January 19, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28071847/hindfoot-fusion-in-haemophilic-arthropathy-6-year-mean-follow-up-of-41-procedures-performed-in-28-adult-patients
#7
M Brkljac, S Shah, C Hay, E C Rodriguez-Merchan
INTRODUCTION: Haemophilic arthropathy of the ankle is rare disorder caused by recurrent haemarthorses beginning in early adulthood. AIM: Our aim was to evaluate the fusion rate of various techniques of hindfoot fusion using internal fixation for the treatment of haemophilic arthropathy of the hindfoot. METHODS: We have evaluated the fusion rate of various techniques of hindfoot (tibiotalar and subtalar joints) fusion for the treatment of haemophilic arthropathy of the hindfoot...
March 2016: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/28018081/spontaneous-osteonecrosis-of-navicular-and-talus-sonnt
#8
Raju Vaishya, Virender Kumar, Amit Kumar Agarwal, Vipul Vijay
We describe a rare case of simultaneous and spontaneous osteonecrosis affecting bilateral navicular and talar bones in a young male. On both sides, there was associated symptomatic talonavicular and naviculocuneiform arthritis. The more symptomatic left foot was managed successfully by talonavicular-cuneiform (TNC) arthrodesis and core decompression of talar body. A probable cause of this rare disorder was most likely due to a developmental anomaly in the preaxial ray of the foot. As no literature is currently available for this rare condition, our case report is intended to provide a referral point for future studies in the early diagnosis and management of this condition...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/27903299/arthroscopic-arthrodesis-for-ankle-arthritis-without-bone-graft
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
COMPARATIVE STUDY
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...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27291683/dual-window-approach-with-two-side-screw-fixation-for-isolated-talonavicular-arthrodesis
#16
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...
January 2017: 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
#17
COMPARATIVE STUDY
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
#18
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
#19
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...
January 2017: 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
#20
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
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