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Archives of Orthopaedic and Trauma Surgery

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01-05-2010 | Orthopaedic Surgery

Arthrodesis of the subtalar and talonavicular joints through a medial surgical approach: a series of 15 cases

Authors: Rémi Philippot, Julien Wegrzyn, Jean Luc Besse

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2010

Abstract

Introduction

We report a series of 15 double-hindfoot (subtalar and talonavicular joint) arthrodeses through a single medial approach on 14 patients. Mean age at surgery was 59.3 years. The chosen surgical technique was always identical using a medial approach and performed by a single surgeon. The average follow-up was 20.6 months.

Method

The mean Kitaoka score increased from 44 to 75, axis of the hindfoot decreased from 21° to 11° in valgus, arch foot angle decreased from 142° to 134.4°. Two failures have led to a secondary complementary arthrodesis of the talocrural joint.

Results

Throughout our study, subtalar and talonavicular arthrodesis in the treatment of painful valgus deformities of the hindfoot reveals to be a valuable and safe alternative. The chosen fixation method combined with a good articular surface avivement through medial approach guarantee a long-term fusion. Moreover, resort to a medial approach significantly reduces wound complications.

Conclusion

This medial approach procedure permits the fusion without developing non-union and provides a significant correction of the fixed deformities.

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Title: Arthrodesis of the subtalar and talonavicular joints through a medial surgical approach: a series of 15 cases
Authors: Rémi Philippot
Julien Wegrzyn
Jean Luc Besse
Publication date: 01-05-2010
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 5/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-1029-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Arthrodesis of the subtalar and talonavicular joints through a medial surgical approach: a series of 15 cases

Abstract

Introduction

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Method

Results

Conclusion

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