Screw only versus screw plus plate in isolated talonavicular arthrodesis |
| |
| Affiliation: | 1. Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, 179 Guduk-ro, Seo-gu, Busan 49242, Republic of Korea;2. Department of Orthopedic Surgery, Pusan National University Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Republic of Korea;1. Beaumont Hospital, Royal Oak, MI, USA;2. University of Iowa, Carver College of Medicine, Department of Orthopedics and Rehabilitation, Iowa City, IA, USA;3. Federal University of Sao Paulo, Department of Orthopedics and Traumatology, Sao Paulo, SP, Brazil;4. Department of Orthopedic Surgery, Rouen University Hospital, Rouen, France;5. University of Sao Paulo, Department of Orthopedics and Traumatology, Sao Paulo, SP, Brazil;1. Hospital for Special Surgery, 532 East 72nd Street, 5th Floor, New York, NY 10021, United States;2. Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, United States;1. MBBS, MSc Orth. Junior Specialist Doctor – Higher, Queen Elizabeth Hospital Birmingham, UK;2. FRCS (Tr&Orth), UK;3. FRCS (Tr&Orth), Consultant in Trauma and Orthopaedics, Queen Elizabeth Hospital Birmingham, UK;1. Schön Klinik München Harlaching — FIFA Medical Centre, 81547 Munich, Germany;2. Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Germany |
| |
| Abstract: | BackgroundWe aimed to compare outcomes of treatment of isolated talonavicular arthrodesis (ITNA) with screw only or screw plus plate, respectively.MethodsWe retrospectively evaluated 40 consecutive cases of ITNA [two-screw fixation patients: Group 1 (23 cases); screw-plus-plate fixation patients: Group 2 (17 cases)]. Outcome measures included radiographic findings, Foot and Ankle Outcome Scores (FAOS), and visual analogue scale (VAS) scores.ResultsNonunion occurred more frequently in group 1 (21.7%) than in group 2 (5.9%), but there was no statistical significance (p = 0.216). Although the preoperative FAOS and VAS score showed similar results between both groups, there were significantly better clinical outcomes in two of five FAOS domains and VAS scores at 3 months postoperative and final follow-up (p < 0.05).ConclusionAlthough union rates were not significantly different, nonunion occurred more frequently in screw only group and we obtained more favorable clinical outcomes in screw plus plate group. |
| |
| Keywords: | Talonavicular joint Talonavicular arthrodesis Screw plus plate Screw only |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
