Dual Window Approach With Two-Side Screw Fixation for Isolated Talonavicular Arthrodesis.
Isolated talonavicular arthrodesis is a commonly performed surgical intervention. Nonunion is a dreaded complication. The aim of the present study was to analyze the clinical and radiologic outcome of talonavicular arthrodesis using a dual approach with 2-side screw fixation. From February 2012 to September 2014, isolated talonavicular arthrodesis was performed on 17 joints of 16 patients (mean age 59.12 years). All procedures were performed by a single surgeon. The incidence of union, visual analog scale scores, and complications were analyzed. Radiographic union was achieved in all 17 cases (100%) at a mean period of 13.12 weeks. The visual analog scale scores had improved significantly (p < .001) at a mean follow-up of 48.53 weeks. One patient (6%) had minimal wound problems, and one (6%) showed prolonged swelling postoperatively. We have concluded that the dual window approach with 2-side screw fixation for isolated talonavicular arthrodesis results in excellent clinical and radiographic results and high fusion rates.
Orthopaedic Department, Heilig Hartziekenhuis, Lier, Belgium. Electronic address: mathiasvdbroek@gmail.com.
Mathias
M
van den Broek
Orthopaedic Department, Heilig Hartziekenhuis, Lier, Belgium.
Geoffroy
G
Vandeputte
Orthopaedic Department, University Hospital, Antwerp, Belgium.
Johan
J
Somville
D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods*; D001863:Bone Screws; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D056888:Patient Positioning / Q000379:methods; D061214:Patient Safety / Q000706:statistics & numerical data; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D013640:Tarsal Joints / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
complication; fusion; navicular; surgical approach; talus