Risk of osteoarthritis secondary to partial or total arthrodesis of the subtalar and midtarsal joints after a minimum follow-up of 10 years

Ebalard, Maud; Henaff, G. Le; Sigonney, Guillaume; Lopes, Ronny; Kerhousse, G.; Brilhault, J.; Huten, D.

doi:10.1016/j.otsr.2014.03.003

Cited by 35 publications

(34 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The mean change was 0.7 ± 7.3 degrees (95% CI, -4.5, 5.9; P = .77). The calcaneal pitch improved from preoperatively 10.3 ± 5.7 (range, [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] degrees to 14.7 ± 4.5 (range, [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] degrees postoperatively. The significant mean increase was 4.4 ± 2.7 degrees (95% CI, 2.5, 6.3; P = .0006).…”

Section: Radiological Resultsmentioning

confidence: 99%

Isolated Talonavicular Fusion With Tension Band for Müller-Weiss Syndrome

Fornaciari¹,

Gilgen

Zwicky

et al. 2014

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

Section: Radiological Resultsmentioning

confidence: 99%

Isolated Talonavicular Fusion With Tension Band for Müller-Weiss Syndrome

Fornaciari¹,

Gilgen

Zwicky

et al. 2014

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

“…Double and triple arthrodeses resulted in similar effect on the distribution of contact stresses. ankle have been equivocal and abnormal joint mechanics have been implicated [13,15]. Therefore, our controlled laboratory study aimed to describe and relate the biomechanical consequences of subtalar, double, and triple arthrodeses in the tibiotalar joint by applying these hindfoot fusion modalities to the same cadaveric feet and the randomizing testing conditions.…”

Section: Discussionmentioning

confidence: 99%

How Do Hindfoot Fusions Affect Ankle Biomechanics: A Cadaver Model

Hutchinson

Baxter

Gilbert

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background While successful subtalar joint arthrodesis provides pain relief, resultant alterations in ankle biomechanics need to be considered, as this procedure may predispose the remaining hindfoot and tibiotalar joint to accelerated degenerative changes. However, the biomechanical consequences of isolated subtalar joint arthrodesis and additive fusions of the Chopart's joints on tibiotalar joint biomechanics remain poorly understood. Questions/purposes We asked: What is the effect of isolated subtalar fusion and sequential Chopart's joint fusions of the talonavicular and calcaneocuboid joints on tibiotalar joint (1) mechanics and (2) kinematics during loading for neutral, inverted, and everted orientations of the foot? Methods We evaluated the total force, contact area, and the magnitude and distribution of the contact stress on the articular surface of the talar dome, while simultaneously tracking the position of the talus relative to the tibia during loading in seven fresh-frozen cadaver feet. Each foot was loaded in the unfused, intact control condition followed by three randomized simulated hindfoot arthrodesis modalities: subtalar, double (subtalar and talonavicular), and triple (subtalar, talonavicular, and calcaneocuboid) arthrodesis. The intact and arthrodesis conditions were tested in three alignments using a metallic wedge insert: neutral (flat), 10°i nverted, and 10°everted. Results Tibiotalar mechanics (total force and contact area) and kinematics (external rotation) differed owing to hindfoot arthrodeses. After subtalar arthrodesis, there were Each author certifies that he or she, or a member of their immediate family, has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Clinical Orthopaedics and Related Research ®A Publication of The Association of Bone and Joint Surgeons® decreases in total force (445 ± 142 N, 95% CI, 340-550 N, versus 588 ± 118 N, 95% CI, 500-676 N; p \ 0.001) and contact area (282 mm 2 , 95% CI, 222-342 mm 2 , versus 336 ± 96 mm 2 , 95% CI, 265-407 mm 2 ; p \ 0.026) detected during loading in the neutral position; these changes also were seen in the everted foot position. Hindfoot arthrodesis also was associated with increased external rotation of the tibiotalar joint during loading: subtalar arthrodesis in the neutral loading position (3.3°± 1.6°; 95% CI, 2°-4.6°; p = 0.004) and everted loading position (4.8°± 2.6°; 95% CI, 2.7°-6.8°; p = 0.043); double arthrodesis in neutral (4.4°± 2°; 95% CI, 2.8°-6°; p = 0.003) and inverted positions (5.8°± 2.6°; 95% CI, 3.7°-7.9°; p = 0.002), and triple arthrodesis in all loaded orientations including neutral (4.5°±1.8°; 95% CI, 3.1°-5.9°; p = 0.002), inverted (6.4°± 3.5°; 95% CI, 3.6°-9.2°; p = 0.009), and everted (3.6°± 2°; 95% CI, 2°-5.2°; p = 0.053) positions. Finally, after subtalar arthrodesis, additive fusions at Chopart's joints did not appear to result in additional observe...

show abstract

“…Good results were found in the majority of cases with high rates of patient satisfaction (1,5,12). Nevertheless, Ebalard et al reported that 84% of patients complained of pain after a minimum follow-up of 10 years (13). In other studies, the prevalence of osteoarthrosis ranged from 24-100% in the subtalar joint and from 18-77% in the Chopart joints (14).…”

mentioning

confidence: 98%