Open AccessIsolated talonavicular arthrodesis for Müller‐Weiss disease
Author(s) -
Lu ChunKuan,
Fu YinChih,
Cheng YuhMin,
Huang PengJu
Publication year - 2014
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/j.kjms.2014.05.001
Subject(s) - medicine , arthrodesis , pathology , alternative medicine
This study aims to describe the clinical results of isolated talonavicular arthrodesis in rare Müller‐Weiss disease, spontaneous osteonecrosis of the navicular in adults. From June 2001 to April 2010, we performed isolated talonavicular arthrodesis on 13 feet of 13 patients (mean age: 55.6 years) with Müller‐Weiss disease. The feet were staged by the preoperative radiographs according to the Maceira classification. The average modified American Orthopaedic Foot and Ankle Society (AOFAS) ankle‐hindfoot score improved from 48.5 points preoperatively to 87.2 points at final follow‐up (mean 51 months, range 10–114 months). Union was achieved in 10 cases (76.9%). If the subtalar and calcaneocuboid joints are relatively healthy, isolated talonavicular arthrodesis may be an effective and reliable surgical option for treatment of Müller‐Weiss disease that is resistant to conservative treatment.