Fusion of Talonavicular and Naviculocuneiform Joints for the Treatment of Muller-Weiss Disease

被引：22

作者：

Yu, Guangrong ^{[1
]}

Zhao, Youguang ^{[1
]}

Zhou, Jiaqian ^{[1
]}

Zhang, Mingzhu ^{[1
]}

机构：

[1] Tongji Univ, Tongji Hosp, Dept Orthopaed, Sch Med, Shanghai 200065, Peoples R China

来源：

JOURNAL OF FOOT & ANKLE SURGERY | 2012年 / 51卷 / 04期

关键词：

arthrodesis; fusion; Kohler's disease; navicular; osteonecrosis; SPONTANEOUS OSTEONECROSIS; TARSAL;

D O I：

10.1053/j.jfas.2012.04.004

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Muller-Weiss disease is a rare spontaneous osteonecrosis of the tarsal and navicular bones in adults. From April 2008 to April 2011, we treated 7 patients with Muller-Weiss disease by surgical fusion of the talonavicular and naviculocuneiform joints with tricortical autologous iliac crest block fixated by screws and plate. Preoperative and postoperative clinical outcomes were evaluated with the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale. The median follow-up time was 22 (range 3 to 38) months. All of the operated feet fused solidly. The median time for solid fusion was 13 (range 12 to 16) weeks. The median American Orthopaedic Foot and Ankle Society ankle-hindfoot score improved from 49 (range 15 to 66) points preoperatively to 82 (range 68 to 87) points at last follow-up. The results suggest that this type of fusion is an effective surgical treatment for Muller-Weiss disease. (C) 2012 by the American College of Foot and Ankle Surgeons. All rights reserved.

引用

页码：415 / 419

页数：5

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