Arthrodesis of the talonavicular joint using angle-stable mini-plates: a prospective study

Lechler, Philipp; Graf, Stephanie; Köck, F. X.; Schaumburger, Jens; Grifka, Joachim; Händel, M.

doi:10.1007/s00264-012-1670-y

Cited by 27 publications

(28 citation statements)

References 21 publications

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“…In order to support consolidation, some authors have used corticospongious iliac bone grafting and plate fixation [25]. Other authors have used a platelet gel concentrate that is placed at the time of soft tissue closure [3].…”

Section: Discussionmentioning

confidence: 99%

Isolated talonavicular joint arthrodesis through minimal incision surgery

Carranza-Bencano

Tejero

Torres

et al. 2015

Foot and Ankle Surgery

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Section: Discussionmentioning

confidence: 99%

Isolated talonavicular joint arthrodesis through minimal incision surgery

Carranza-Bencano

Tejero

Torres

et al. 2015

Foot and Ankle Surgery

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“…All patients were reported to obtain significant pain relief and improved overall function according to VAS score. Lechler P et al [4] systematically reviewed that 125 combined cases of isolated TNA have variable results, with rates of complications ranging from 10 to 37.5%; the overall complication rates were 20.8%, including nonunion, adjacent arthritis and hardware-related problems. Barkatali BM and Munoz MA et al [1–5] reported the nonunion rates of TNA were up to 3.8 ~ 11% and the operation was difficult to obtain satisfactory fusion rates.…”

Section: Discussionmentioning

confidence: 99%

“…Some previous studies reported that the nonunion rates of TNA were 3.8 ~ 11% [1–5]. In most cases, the nonunion rates arise from hardware loosening with loss of interface compression and stability function during the healing process [2, 4, 6–8]. The implants mainly include staples, plates, and screws.…”

Section: Introductionmentioning

confidence: 99%

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Individual headless compression screws fixed with three-dimensional image processing technology improves fusion rates of isolated talonavicular arthrodesis

et al. 2017

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BackgroundScrew 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.MethodsFrom 2007 to 2014, 69 patients underwent isolated TNA by using double Acutrak HCSs. The preoperative three-dimensional (3D) insertion model of double HCSs was applied by Mimics, Catia, and SolidWorks reconstruction software. One HCS oriented antegradely from the edge of dorsal navicular tail where intersected interspace between the first and the second cuneiform into the talus body along the talus axis, and the other one paralleled the first screw oriented from the dorsal-medial navicular where intersected at the medial plane of the first cuneiform. The anteroposterior and lateral X-ray examinations certified that the double HCSs were placed along the longitudinal axis of the talus. Postoperative assessment included the American Orthopaedic Foot & Ankle Society hindfoot (AOFAS), the visual analogue scale (VAS) score, satisfaction score, imaging assessments, and complications.ResultsAt the mean 44-months follow-up, all patients exhibited good articular congruity and solid bone fusion at an average of 11.26 ± 0.85 weeks (range, 10 ~ 13 weeks) without screw loosening, shifting, or breakage. The overall fusion rates were 100%. The average AOFAS score increased from 46.62 ± 4.6 (range, 37 ~ 56) preoperatively to 74.77 ± 5.4 (range, 64–88) at the final follow-up (95% CI: −30.86 ~ −27.34; p < 0.001). The mean VAS score decreased from 7.01 ± 1.2 (range, 4 ~ 9) to 1.93 ± 1.3 (range, 0 ~ 4) (95% CI: 4.69 ~ 5.48; p < 0.001). One cases (1.45%) and three cases (4.35%) experienced wound infection and adjacent arthritis respectively. The postoperative satisfaction score including pain relief, activities of daily living, and return to recreational activities were good to excellent in 62 (89.9%) cases.ConclusionsIndividual 3D reconstruction of HCSs insertion model can be designed with three-dimensional image processing technology in TNA. The technology is safe, effective, and reliable to isolated TNA method with high bone fusion rates, low incidences of complications.

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“…Die in der Literatur angegebenen sowie eigene Daten zeigen mehrheitlich gute bis sehr gute Ergebnisse [17,10,18]. Primär steht bei entsprechender Symptomatik die konservative Therapie im Vordergrund.…”

Section: Diskussionunclassified

Arthrodesen bei Patienten mit rheumatisch bedingten Sprunggelenks- und Rückfußarthrosen

et al. 2014

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Arthrodesis of the talonavicular joint using angle-stable mini-plates: a prospective study

Abstract: 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.

Cited by 27 publications

References 21 publications

Isolated talonavicular joint arthrodesis through minimal incision surgery

Isolated talonavicular joint arthrodesis through minimal incision surgery

Individual headless compression screws fixed with three-dimensional image processing technology improves fusion rates of isolated talonavicular arthrodesis

Arthrodesen bei Patienten mit rheumatisch bedingten Sprunggelenks- und Rückfußarthrosen

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