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

  • Orthopaedic Surgery
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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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References

  1. Jeng CL, Vora AM, Myerson MS (2005) The medial approach to triple arthrodesis: indications and technique for management of rigid valgus deformities in high-risk patients. Foot Ankle Clin 10:515–521

    Article  PubMed  Google Scholar 

  2. Vora AM, Myerson MS, Jeng CL (2005) The medial approach to triple arthrodesis: indications and technique for management of rigid valgus deformities in high-risk patients. Tech Foot Ankle Surg 4(4):258–262

    Article  Google Scholar 

  3. Bednarz PA, Monroe MT, Manoli IA (1999) Triple arthrodesis in adults using rigid internal fixation: an assessment of outcome. Foot Ankle Int 20:356–363

    CAS  PubMed  Google Scholar 

  4. Graves SC, Mann RA, Graves KO (1993) Triple arthrodesis in older adults: results after long-term follow-up. J Bone Joint Surg 75A:355–362

    Google Scholar 

  5. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M (1994) Clinical rating systems for the ankle hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 15–7:349

    Google Scholar 

  6. Djian A, Annonier C, Denis A, Baudoin P (1968) Radiopodometry (principles and results). J Radiol Electrol Med Nucl 49(10):769–772

    CAS  PubMed  Google Scholar 

  7. Méary R, Filipe G, Aubriot JH, Tomeno B (1977) Functional study of a double arthrodesis of the foot. Rev Chir Orthop Reparatrice Appar Mot 63(4):345–359

    PubMed  Google Scholar 

  8. Johnson KA, Strom DE (1989) Tibialis posterior tendon dysfunction. Clin Orthop Relat Res 239:196–206

    PubMed  Google Scholar 

  9. Myerson MS (1997) Adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendon. Instr Course Lect 46:393–405

    CAS  PubMed  Google Scholar 

  10. De Wachter J, Knupp M, Hintermann B (2007) Double-hindfoot arthrodesis through a single medial approach. Tech Foot Ankle Surg 6:1–6

    Article  Google Scholar 

  11. Knupp M, Schuh R, Stufkens SA, Bolliger L, Hintermann B (2009) Subtalar and talonavicular arthrodesis through a single medial approach for the correction of severe planovalgus deformity. J Bone Joint Surg Br 91(5):612–615

    Article  CAS  PubMed  Google Scholar 

  12. Asencio G, Roeland G, Megy B, Bertin R, Fouque E, Leclerc V (1995) Stabilisation de l’arrière-pied par arthrodèse astragalo-scaphoïdienne. Résultats à propos de 50 cas. Rev chir orthop Appar Mot 81:691–701

    CAS  Google Scholar 

  13. Haddad SL, Myerson MS, Pell RF (1997) Clinical and radiographic outcome of revision surgery for failed triple arthrodesis. Foot Ankle Int 18:489–499

    CAS  PubMed  Google Scholar 

  14. Bibbo C, Anderson Robert B, Hodges D (2001) Complications of midfoot and hindfoot arthrodesis. Clin Orthop Relat Res 391:45–58

    Article  PubMed  Google Scholar 

  15. Steinhauser J (1978) Die Arthrodesens der Chopart’s schen Gelenklinie. Ferdinant Enke Verlag, Stuttgart

    Google Scholar 

  16. Savory K, Wiilker N, Stukenborg C, Alfke D (1998) Biomechanics of the hind foot joints in response to degenerative hindfoot arthrodesis. Clin Biomech 13:62–70

    Article  Google Scholar 

  17. Gerard Y, Chelius P (1986) Le blocage des mouvements de l’articulation sous-astragalienne par arthrodèse astragalo-scaphoïdienne. Rev Chir Orthop Appar Mot 72:104–108

    Google Scholar 

  18. Mainard D, Roche O, Cronier B, Delagoutte JP (1993). Arthrodèse talo-scaphoïdienne dans le traitement des lésions dégénératives du couple de torsion. Méd Chir Pied, ler Congrès Européen Masson Édit, Paris, pp 113–117

  19. Harper MC, Tisdel CL (1996) Talonavicular arthrodesis for the painful adult acquired flatfoot. Foot Ankle Int 17:658–661

    CAS  PubMed  Google Scholar 

  20. Castro MD, Coetzee JC (2003) Surgical treatment of grade III posterior tibial tendon insufficiency. Single and double arthrodesis. Tech Foot Ankle Surg 2:232–236

    Article  Google Scholar 

  21. Jeng CL, Tankson CJ, Myerson MS (2006) The single medial approach to triple arthrodesis: a cadaver study. Foot Ankle Int 27:1122–1125

    PubMed  Google Scholar 

  22. Bono JV, Jacobs RL (1992) Triple arthrodesis through a single lateral approach: a cadaveric experiment. Foot Ankle 13:408–412

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Laboratoire de Physiologie de l’Exercice, EA 4338, Centre Hospitalier et universitaire de Saint Etienne, Saint Etienne Cedex 2, France

    Rémi Philippot

  2. Service de chirurgie orthopédique, Centre Hospitalier et universitaire de Saint Etienne, 42055, Saint Etienne Cedex 2, France

    Rémi Philippot

  3. Service de chirurgie orthopédique, Centre Hospitalier Edouard Herriot, 5 pl Arsonval, 69437, Lyon Cedex 03, France

    Julien Wegrzyn

  4. Service de chirurgie orthopédique, Centre Hospitalier Lyon Sud chemin Grand Revoyet, 69310, Pierre Bénite, France

    Jean Luc Besse

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  1. Rémi Philippot
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  2. Julien Wegrzyn
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  3. Jean Luc Besse
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Correspondence to Rémi Philippot.

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Philippot, R., Wegrzyn, J. & Besse, J.L. Arthrodesis of the subtalar and talonavicular joints through a medial surgical approach: a series of 15 cases. Arch Orthop Trauma Surg 130, 599–603 (2010). https://doi.org/10.1007/s00402-009-1029-z

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  • DOI: https://doi.org/10.1007/s00402-009-1029-z

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