Isolated Talonavicular Arthrodesis for Talonavicular Arthritis

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 im...

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Bibliographic Details
Published in:Foot & ankle international 2001-08, Vol.22 (8), p.633-636
Main Authors: Chen, Chung-Hwan, Huang, Peng-Ju, Chen, Tai-Bin, Cheng, Yuh-Min, Lin, Sen-Yuen, Chiang, Hsiu-Chu, Chen, Li-Chin
Format: Article
Language:English
Subjects:
Adolescent
Adult
Arthritis - diagnostic imaging
Arthritis - surgery
Arthrodesis - methods
Female
Follow-Up Studies
Humans
Male
Middle Aged
Osteoarthritis - surgery
Patient Satisfaction
Radiography
Talus - surgery
Tarsal Bones - surgery
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Summary: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.
ISSN:1071-1007
1944-7876
DOI:10.1177/107110070102200803