+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Talo-navicular arthrodesis for residual midfoot deformities of a previously corrected clubfoot

, : Talo-navicular arthrodesis for residual midfoot deformities of a previously corrected clubfoot. Foot & Ankle International 21(6): 482-485

Triangular navicular, dorsal-lateral subluxation of the talo-navicular (TN) joint with a secondary forefoot cavovarus deformity, and degenerative changes of the TN joint are frequent causes of residual clubfoot deformity and pain in the midfoot after surgical correction. This study investigates the usefulness of TN arthrodesis to correct these deformities and to resolve symptoms resulting from these deformities. During the period from 1991-1996, the senior author performed 19 TN fusions (16 patients) for the above residual clubfoot deformities involving a painful TN joint. Eight of the procedures (seven patients) also required a lateral column shortening with a calcaneal wedge osteotomy to allow for a complete correction of the TN joint. The procedure was only performed in cases involving a hindfoot that was adequately aligned during a previous clubfoot correction. The average age of the patients at the time of surgery was 11 years (range: 4-20). One patient (bilateral procedures) was lost to follow-up. Fifteen patients (17 procedures) were followed-up for an average of four years (range: 2-6). All patients reported symptomatic improvement after the TN arthrodesis. Fourteen of the patients (15 procedures) were completely satisfied. The remaining patient (bilateral procedures) was only partially satisfied due to the subsequent development of navicular-cuneiform osteoarthritis in both feet. Two cases (2 patients) developed complications requiring a second procedure for satisfactory results. In addition, the procedure resulted in an improvement of the talus-first metatarsal angle on both antero-posterior and lateral radiographs. TN arthrodesis produced a correction of the residual clubfoot deformities of the midfoot and resulted in satisfactory clinical improvement in all the patients.


PMID: 10884107

Other references

Jopson, H.G.M., 1938: Observation of the Survival Value of the Character of the Blue Tail in Eumeces. Copeia Ann Arbor, 90

Tsutsumi, S.; Kondo, A.; Yasumoto, Y.; Ito, M., 2008: Rapid growth of congenital diffuse brain tumor considered to be teratoma: case report. Prenatal ultrasonography of a 17-year-old pregnant female detected ventriculomegaly of the fetus at 31 weeks of gestation. Her medical and family histories were unremarkable. Fetal magnetic resonance imaging taken at 33 weeks of gestation showed a...

Jenkins, Dt, 1982: A study of Amanita types. IV. Taxa described by G.F. Atkinson. Mycotaxon 14(1): 237-246

Anonymous, 1968: Specially bred mosquitoes eradicate filariasis carrier. Public Health Reports 83(2): 133-133

Lavín, S.; Marco, I.; Rossi, L.; Meneguz, P.G.; Viñas, L., 1997: Haemonchosis in Spanish ibex. Two cases of haemonchosis occurred in the Spanish ibex (Capra pyrenaica) population of the National Hunting Reserve of Tortosa and Beseit, northeastern Spain, in July 1992 and May 1993. The animals were cachectic and recumbent and had an acute hem...

Marshall, J.M., 1998: Chemoreceptors and cardiovascular control in acute and chronic systemic hypoxia. This review describes the ways in which the primary bradycardia and peripheral vasoconstriction evoked by selective stimulation of peripheral chemoreceptors can be modified by the secondary effects of a chemoreceptor-induced increase in ventilatio...

Anderson D.M.W.; Stefani A.; Weiping W., 1991: Combretum nigricans gum its unusual structure properties and differences from gum arabic acacia senegal. Combretum nigricans is the major source of commercial "gum combretum" which is widely available in West African markets. Although not permitted in foodstuffs by regulatory authorities it has been used as an adulterant of gum arabic (Acac...

Aradaib, I.E.; Wilson, W.C.; Schore, C.E.; Mohammed, M.E.; Yilma, T.D.; Cullor, J.S.; Osburn, B.I., 1998: PCR detection of North American and Central African isolates of epizootic hemorrhagic disease virus (EHDV) based on genome segment 10 of EHDV serotype 1. PCR amplification technology for the detection of epizootic haemorrhagic disease virus (EHDV) ribonucleic acid in cell culture and clinical specimens was developed. With oligoribonucleotide primers selected from genome segment 10 of EHDV serotype...

Aguirre, J.A.; Fuxe, K.; Andbjer, B.; Eneroth, P.; Agnati, L.F., 1991: Changes in pituitary-adrenal activity regulate the central vasodepressor responses induced by neuropeptide Y and adrenaline in the awake unrestrained male rat. The central cardiovascular responses induced by neuropeptide Y (0.25 nmol) and adrenaline (2.00 nmol) given i.c.v. in close to maximal doses in the awake, unrestrained male rat were studied following changes in the pituitary-adrenal activity. Adre...

Nash, E.C., 1959: Diaphragmatic hernia. Clinical manifestations, diagnosis and treatment. Journal of the National Medical Association 51: 329-338