| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 4054521 | Foot and Ankle Surgery | 2015 | 7 Pages |
•Talonavicular arthrodesis by MIS could be an option for the treatment of TN arthritis with risk of wound healing complications.•Radiographic and clinical consolidation was achieved in 10 of 11 cases of TN arthritis.•No cases of early complications, such as wound infections, neurovascular damage or delayed wound healing were collected.•This original technique could offer significant improvement in the functional outcomes and the quality of life of the patients.•Although a learning curve is mandatory, this original technique is considered as a reproducible procedure by the senior surgeon.
BackgroundThe purpose of this study was to analyze bony fusion and functional outcomes after talonavicular arthrodesis (TNA) using an original minimally invasive surgery (MIS).MethodsThere 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.ResultsRadiographic 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.ConclusionIsolated 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 evidenceLevel IV, case series.
