Isolated Talonavicular Arthrodesis for Talonavicular Arthritis

Abstract

We have reviewed a single surgeon's experience with isolated talonavicular fusion in 16 patients with talonavicular arthritis. Fixation was either by staples or screws. Fifteen solid unions were achieved in the 16 patients who were followed (mean: 51 months). The average Ankle-Hindfoot Scale improved from 77.2 preoperatively to 92.9 postoperatively (p < 0.001). Subjectively, 15 patients were satisfied and one patient dissatisfied with the results. Further osteoarthritis in the adjacent joints was noted in five patients. We concluded that isolated talonavicular fusion is an effective method of treatment of talonavicular arthritis regarding pain relief and functional improvement. Though osteoarthritis was found in some adjacent joints postoperatively, the results were still satisfactory.

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

“…Formerly, good to excellent results have been reported following talonavicular fusion with patient satisfaction rates above 90 % [16][17][18]. Our study reports an overall patient satisfaction rate of 93.3 % at the final evaluation.…”

Isolated talonavicular joint arthrodesis through minimal incision surgery

“…It is currently being used to treat traumatic, rheumatoid, and degenerative isolated talonavicular arthritis, posterior tibial tendon deficiencies, and pes valgus deformities, as well as congenital deformities and neuromuscular diseases [1][2][3]5,[11][12][13][14][15][16][17][18]. We used isolated TNA by MIS, fundamentally for patients with precarious soft tissue, but without malalignment of the hindfoot or peritalar destabilization [19].…”

Talonavicular joint arthrodesis for the treatment of pes planus valgus in older children and adolescents with cerebral palsy

“…The mid-foot instability and hind-foot valgus are corrected as well. Although talonavicular joint arthrodesis has been useful in the treatment of acquired flat foot in the adult [14][15][16], arthritis and arthrosis of the talonavicular joint [16][17][18][19], residual deformities of club foot [20], and sequels of trauma or talus necrosis [21], there are no clinical reports about its use in the spastic flat foot in CP. We report our experience with this technique.…”