Lechler, Philipp and Graf, Stephanie and Koeck, Franz Xaver and Schaumburger, Jens and Grifka, Joachim and Handel, Martin (2012) Arthrodesis of the talonavicular joint using angle-stable mini-plates: a prospective study. INTERNATIONAL ORTHOPAEDICS, 36 (12). pp. 2491-2494. ISSN 0341-2695
Full text not available from this repository. (Request a copy)Abstract
Purpose The talonavicular joint is a central connection of the human foot. Symptomatic talonavicular arthritis can be adequately addressed by isolated talonavicular fusion. However, non-union remains a relevant clinical challenge to the orthopaedic surgeon. The aim of this study was to analyse the clinicoradiological outcome of talonavicular fusion using angle-stable mini-plates. Methods We performed 30 talonavicular fusions in 30 patients (12 male, 18 female) with a mean age of 58.8 years (range, 22-74) between 2005 and 2007. Osseous joint fusion was achieved using mono- and multidirectional angle-stable mini-plates. The patients followed a standardised immobilisation and weight bearing protocol. The mean postoperative follow up was 15.8 months (6.1-23.8). Results The American Orthopedic Foot and Ankle Society AOFAS score increased significantly from 31.7 (19-42) to 82.3 points (55-97) (p < 0.001). Neither age at operation nor gender influenced the score results significantly, while the aetiology of talonavicular degeneration showed a significant effect. Mean visual analogue scale (VAS) pain intensity (0-10) reduced from 8.6 to 1.7 (p < 0.001). Good or excellent results were achieved in 26 patients, while two patients reported fair and another two poor results. Complete osseous fusion was observed at a mean of 10.9 weeks (8-13) postoperatively. Conclusions For the treatment of talonavicular arthritis, the application of mono- and multidirectional angle-stable mini-plates provided a strong fixation that led to high union rates and good to excellent overall outcome.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ISOLATED SUBTALAR ARTHRODESIS; ACQUIRED FLATFOOT; FOLLOW-UP; FOOT; FIXATION; ANKLE; ARTHRITIS; ADULT; SCREW |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 01 Jul 2022 07:11 |
| Last Modified: | 01 Jul 2022 07:11 |
| URI: | https://pred.uni-regensburg.de/id/eprint/17672 |
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