Dariusch Arbab, Bertil Bouillon, Sebastian Schilde, Natalia Gutteck, Philipp Lichte, Eugen Ulrich
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Temporary stabilization with Kirschner wires and stabilization with screws, optional with cramps or plates.</p><p><strong>Postoperative management: </strong>Six weeks nonweightbearing in a long walker boot. Afterwards 2 weeks of progressively weight bearing in a long walker boot. Then full weightbearing in walking shoes with stiff soles. Physiotherapy.</p><p><strong>Results: </strong>A total of 18 feet in 18 patients with isolated talonavicular arthritis were treated with isolated talonavicular fusion and corticocancellous bone thorough a midline incision. For postoperative management, patients had nonweightbearing for 6 weeks in a long walker boot. Mean follow-up was 14.5 months (range 8-35 months). Mean age was 63.2 years (range 54-72 years). Preoperative Manchester-Oxford Foot Questionnaire (MOXFQ) score was 65.3 (± 5.2); postoperative MOXFQ score was 28.5 (± 7.0). One revision surgery performed due to pseudarthrosis.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.0000,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Talonavicular arthrodesis].\",\"authors\":\"Dariusch Arbab, Bertil Bouillon, Sebastian Schilde, Natalia Gutteck, Philipp Lichte, Eugen Ulrich\",\"doi\":\"10.1007/s00064-024-00875-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Realignment of the hindfoot by talonavicular arthrodesis.</p><p><strong>Indications: </strong>Idiopathic and posttraumatic arthritis of the talonavicular joint with or without malalignment. Optional in flatfoot reconstruction.</p><p><strong>Contraindications: </strong>General medical contraindications to surgical interventions.</p><p><strong>Infection: </strong></p><p><strong>Surgical technique: </strong>Medial, dorsomedial, or dorsal skin incision. Exposure of the talonavicular joint and cartilage removal. Decortication. Reposition of the joint if malaligned. Optional transplantation of corticocancellous bone. Temporary stabilization with Kirschner wires and stabilization with screws, optional with cramps or plates.</p><p><strong>Postoperative management: </strong>Six weeks nonweightbearing in a long walker boot. Afterwards 2 weeks of progressively weight bearing in a long walker boot. Then full weightbearing in walking shoes with stiff soles. Physiotherapy.</p><p><strong>Results: </strong>A total of 18 feet in 18 patients with isolated talonavicular arthritis were treated with isolated talonavicular fusion and corticocancellous bone thorough a midline incision. For postoperative management, patients had nonweightbearing for 6 weeks in a long walker boot. Mean follow-up was 14.5 months (range 8-35 months). Mean age was 63.2 years (range 54-72 years). Preoperative Manchester-Oxford Foot Questionnaire (MOXFQ) score was 65.3 (± 5.2); postoperative MOXFQ score was 28.5 (± 7.0). 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Objective: Realignment of the hindfoot by talonavicular arthrodesis.
Indications: Idiopathic and posttraumatic arthritis of the talonavicular joint with or without malalignment. Optional in flatfoot reconstruction.
Contraindications: General medical contraindications to surgical interventions.
Infection:
Surgical technique: Medial, dorsomedial, or dorsal skin incision. Exposure of the talonavicular joint and cartilage removal. Decortication. Reposition of the joint if malaligned. Optional transplantation of corticocancellous bone. Temporary stabilization with Kirschner wires and stabilization with screws, optional with cramps or plates.
Postoperative management: Six weeks nonweightbearing in a long walker boot. Afterwards 2 weeks of progressively weight bearing in a long walker boot. Then full weightbearing in walking shoes with stiff soles. Physiotherapy.
Results: A total of 18 feet in 18 patients with isolated talonavicular arthritis were treated with isolated talonavicular fusion and corticocancellous bone thorough a midline incision. For postoperative management, patients had nonweightbearing for 6 weeks in a long walker boot. Mean follow-up was 14.5 months (range 8-35 months). Mean age was 63.2 years (range 54-72 years). Preoperative Manchester-Oxford Foot Questionnaire (MOXFQ) score was 65.3 (± 5.2); postoperative MOXFQ score was 28.5 (± 7.0). One revision surgery performed due to pseudarthrosis.
期刊介绍：
Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care.
The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems.
Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.
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