title: A technique for isolated arthrodesis for inflammatory arthritis of the talonavicular joint.
abstract: There are few reports in the literature documenting the efficacy of isolated arthrodesis for inflammatory arthritis of the talonavicular joint. Accordingly, we reviewed a single surgeon's experience with this procedure in twenty consecutive cases from this patient population. A technique using indirect joint distraction and the combined use of screw and staple fixation was employed. Solid arthrodesis was noted radiographically in 19 of 20 feet (95%) at an average of 11 weeks. Complications included one non-union, one deep venous thrombosis, and one superficial wound infection. Objective results were graded as excellent in 16 cases, good in 3 cases, and poor in one case. Subjectively, 18 patients were satisfied and one patient dissatisfied with the results of the procedure. It is concluded that isolated arthrodesis is an effective procedure for the treatment of inflammatory arthritis of the talonavicular joint, offering significant pain relief and improved function. Additionally, the use of indirect joint distraction and fixation with screws and staples is a reliable technique associated with an excellent fusion rate.
authors.affiliation: Harvard Combined Orthopaedic Residency Program, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts, USA. cc248@aol.com
authors.forename: C P
authors.initials: CP
authors.lastname: Chiodo
authors.forename: T
authors.initials: T
authors.lastname: Martin
authors.forename: M G
authors.initials: MG
authors.lastname: Wilson
mesh_terms: D000328:Adult; D000368:Aged; D018771:Arthralgia / Q000601:surgery; D001168:Arthritis / Q000601:surgery*; D001172:Arthritis, Rheumatoid / Q000601:surgery; D001174:Arthrodesis / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D001175:Arthrography; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007596:Joints / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D015203:Reproducibility of Results; D013530:Surgical Wound Infection / Q000209:etiology; D013537:Sutures; D013628:Talus / Q000000981:diagnostic imaging / Q000601:surgery*; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D020246:Venous Thrombosis / Q000209:etiology