Results of Arthrodesis of the Tarsometatarsal Joints after Traumatic Injury*†
- 1 November 1996
- journal article
- Published by Wolters Kluwer Health in Journal of Bone and Joint Surgery
- Vol. 78 (11) , 1665-76
- https://doi.org/10.2106/00004623-199611000-00005
Abstract
He procedures were performed with use of rigid internal fixation, and twenty-four patients, in whom a defect had been created by débridement of the joints, were managed with an autogenous bone graft. Nine patients had at least one concomitant procedure, including a claw-toe procedure (eight patients), a reconstruction of the posterior tibial tendon (three patients), an excision of an interdigital neuroma (three patients), an arthrodesis of the calcaneocuboid joint (one patient), and an arthrodesis of the ankle (one patient). Complications included neuritis in three patients; metatarsalgia in two; malunion in two; and asymptomatic non-union, wound slough, superficial infection, and reflex sympathetic dystrophy in one each.The patients were evaluated at a mean of fifty months (range, twenty-four to 105 months) after the arthrodesis. The evaluation included a physical examination, radiographs, and use of the rating scale of the American Orthopaedic Foot and Ankle Society for the evaluation of the midfoot. The mean postoperative score of 78 (of a possible 100) points was significantly better than the mean preoperative score of 44 points (p = 0.02). With the numbers available, we could not show that the extent of the arthrodesis, the involvement of other joints in the hindfoot or the forefoot, the mechanism of injury, or whether the injury was work-related significantly affected the functional outcome....Keywords
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