title: The isolated talonavicular arthrodesis.
abstract: Based on a high percentage of good results, retrospective studies strongly suggest that isolated talonavicular arthrodesis provides efficient pain relief and functional improvement in case of talonavicular arthritis in rheumatoid arthritis, primary or posttraumatic arthritis, flexible acquired flatfoot deformity, residual dorsolateral subluxation of the talonavicular joint after surgical treatment of clubfoot, and some neurologic disorders. However, prospective trials with rigorous methodology are required to establish evidence of efficacy for this procedure. Well-designed biomechanical studies have demonstrated the key role of the talonavicular joint in the complex hindfoot motion and may serve as baseline for further prospective studies.
authors.affiliation: Department of Orthopedic Surgery, Centre Hospitalier Universitaire Vaudois, Site Hôpital Orthopédique, CH-1011 Lausanne, Switzerland. xavier.crevoisier@chuv.ch
authors.forename: Xavier
authors.initials: X
authors.lastname: Crevoisier
mesh_terms: D001174:Arthrodesis / Q000379:methods*; D006801:Humans; D016268:Internal Fixators; D007592:Joint Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018579:Patient Selection; D013640:Tarsal Joints