Radiographic Results of Nitinol Compression Staples for Hindfoot and Midfoot Arthrodeses

Schipper, Oliver N.; Ford, Samuel E.; Moody, Patrick W; Doren, Bryce Van; Ellington, J. Kent

doi:10.1177/1071100717737740

Cited by 47 publications

(35 citation statements)

References 19 publications

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“…Recent studies have found nonunion rates with conventional fixation methods to range between 0% and 10% for isolated TMT fusions, 4,6,7,16,20,22 with the naviculocuneiform and talonavicular joints generally having the highest rates of nonunion. 20,24 In this current study, the focus was on the tarsometatarsal joints only. With time, this can be expanded to the larger joints as well.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Nitinol Compression Staples in Tarsometatarsal Fusion

Dock

Freeman

Coetzee

et al. 2020

Foot & Ankle Orthopaedics

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Background: Tarsometatarsal (TMT) arthrodesis is commonly performed in the management of midfoot arthritis, trauma, or deformity. The purpose of this study was to collect aggregate data (demographic, surgical, and perioperative outcomes) on patients who previously had a TMT fusion with BME compression staples. Methods: Sixty-six patients underwent TMT fusion with BME compression staples. Outcomes included demographics, surgical information, the Veterans Rand VR-12 Health Survey, Foot and Ankle Ability Measure (FAAM), visual analog scale (VAS), Revised-Foot Function Index (FFI-R), Ankle Osteoarthritis Scale (AOS), patient satisfaction survey scores, radiographic fusion rate, level of pain reduction, and complications. Sixty-six patients (68 feet) were analyzed (59 females) with an average age of 64 years (range, 18-83). The mean latest follow-up was 35.9 (range, 6-56.6 months). Results: The average surgical time was 38.1±14.3 minutes (range, 11-75). All outcomes improved significantly ( P < .001) from preoperative to latest follow-up except for the VR-12 Mental and Physical score. The average time to fusion determined by radiographs was 8.4 weeks (range, 6.1-46.1 weeks). Wound complications were not seen. Indications for subsequent surgeries (26.5%, 18/68 feet) in this current study included pain (n = 14), broken staples, and nonunion (n = 3). Conclusions: The fusion rate in this study, 89.7%, was similar to values reported in the literature. The patient satisfaction score of 81.9 at latest follow-up is consistent with patient satisfaction for other methods of fusion. Level of Evidence: Level IV, retrospective case series.

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Section: Discussionmentioning

confidence: 99%

Outcomes of Nitinol Compression Staples in Tarsometatarsal Fusion

Dock

Freeman

Coetzee

et al. 2020

Foot & Ankle Orthopaedics

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“…A staple-only construct also yielded union rates above 90%. 71 When using screw fixation of the subtalar joint, more than 1 screw should be used, and placement of the screws in divergent fashion has demonstrated greater torsional stiffness when compared to a single screw and 2 screws placed in parallel fashion in a cadaver study. 14 The direction of screw insertion, dorsal to plantar (talus to calcaneus) or plantar to dorsal (calcaneus to talus), has also been examined.…”

Section: Fixationmentioning

confidence: 98%

Triple Arthrodesis for Adult-Acquired Flatfoot Deformity

Erard

Sheean

Sangeorzan

2019

Foot & Ankle Orthopaedics

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Originally described as a means to address fixed deformities or uncontrolled movement of the hindfoot observed in paralytic foot deformities, triple arthrodesis has evolved into a powerful procedure for the correction of a variety of foot deformities. Over the past decade, multiple advances have been made with respect to diagnostic imaging, fixation options, bone graft substitutes, and postoperative regimens. While this operation requires experience and skill to execute, when properly performed, it allows for correction of deformity and a plantigrade and ideally pain-free foot for ambulation. The purpose of this review is to highlight advances in the procedure and its application to the rigid planovalgus foot. Level of Evidence: Level V, review.

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“…Staples are an effective alternative when the surgeon is concerned about soft tissue quality and in situations where scarring from previous procedures preclude extensive dissection. There have been several reports 27,28 of the use of staples although none of these looks exclusive at their use in midfoot joints. Fixation devices which use principles of both staples and plate screw construct are also popular, but no clinical studies have looked at their use exclusively in midfoot (Figs.…”

Section: Operative Managementmentioning

confidence: 99%

Midfoot arthritis- current concepts review

Kurup

Vasukutty

2020

Journal of Clinical Orthopaedics and Trauma

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Midfoot arthritis causes chronic foot pain and significant impairment of daily activities. Although post traumatic arthritis and primary osteoarthritis are the most common pathologies encountered, surgeons need to rule out inflammatory causes and neuropathic aetiology before starting treatment. Steroid Injections are invaluable in conservative management and have diagnostic value in guiding surgical treatment. For the definitive surgical option of fusion there are a variety of fixation devices available. A successful union is linked to a satisfactory outcome which most authors report to be in the range of 90% following the key principles of careful patient selection, pre-operative planning, adequate joint preparation and a stable fixation.

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Radiographic Results of Nitinol Compression Staples for Hindfoot and Midfoot Arthrodeses

Abstract: Level III, comparative cohort study.

Cited by 47 publications

References 19 publications

Outcomes of Nitinol Compression Staples in Tarsometatarsal Fusion

Outcomes of Nitinol Compression Staples in Tarsometatarsal Fusion

Triple Arthrodesis for Adult-Acquired Flatfoot Deformity

Midfoot arthritis- current concepts review

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