A Carranza-Bencano1, Sergio Tejero2, J J Fernández Torres2, G Del Castillo-Blanco3, A Alegrete-Parra3. 1. University of Sevilla, Spain; Foot Ankle Unit, Universitary Hospital "Virgen del Rocío", Sevilla, Spain. Electronic address: acarranz@us.es. 2. University of Sevilla, Spain; Foot Ankle Unit, Universitary Hospital "Virgen del Rocío", Sevilla, Spain. 3. Foot Ankle Unit, Universitary Hospital "Virgen del Rocío", Sevilla, Spain.
Abstract
BACKGROUND: The purpose of this study was to analyze bony fusion and functional outcomes after talonavicular arthrodesis (TNA) using an original minimally invasive surgery (MIS). METHODS: There was a total of 11 feet in 11 patients who underwent TNA and were followed up for 47 months (range 40.8-53.1). Functional outcomes were measured by AOFAS and quality of life by eight sections of SF-36. RESULTS: Radiographic and clinical consolidation was achieved in 10 of 11 cases. In the AOFAS score, physical function improved a mean of 34.4 points (95% CI: 23.2-45.6; p<.0001) and pain improved a mean of 23.6 points (95% CI: 17.4-29.8; p<.0001). One osteoporotic and rheumatic patient had a non-union. No cases of early complications, such as wound infections, neurovascular damage or delayed wound healing, occurred. CONCLUSION: Isolated TNA by MIS could be an option for the treatment of TN arthritis, especially for patients at greater risk of wound healing complications. LEVEL OF EVIDENCE: Level IV, case series.
BACKGROUND: The purpose of this study was to analyze bony fusion and functional outcomes after talonavicular arthrodesis (TNA) using an original minimally invasive surgery (MIS). METHODS: There was a total of 11 feet in 11 patients who underwent TNA and were followed up for 47 months (range 40.8-53.1). Functional outcomes were measured by AOFAS and quality of life by eight sections of SF-36. RESULTS: Radiographic and clinical consolidation was achieved in 10 of 11 cases. In the AOFAS score, physical function improved a mean of 34.4 points (95% CI: 23.2-45.6; p<.0001) and pain improved a mean of 23.6 points (95% CI: 17.4-29.8; p<.0001). One osteoporotic and rheumaticpatient had a non-union. No cases of early complications, such as wound infections, neurovascular damage or delayed wound healing, occurred. CONCLUSION: Isolated TNA by MIS could be an option for the treatment of TN arthritis, especially for patients at greater risk of wound healing complications. LEVEL OF EVIDENCE: Level IV, case series.
Authors: Sergio Tejero; Andres Carranza-Pérez-Tinao; Maria Dolores Zambrano-Jiménez; Estefanía Prada-Chamorro; Jose Juan Fernández-Torres; Andrés Carranza-Bencano Journal: Int Orthop Date: 2020-09-01 Impact factor: 3.075