Functional and Radiological Outcomes After Tarsal Coalition Resections: A Minimum 5-Year Follow-Up
| Autor: | Turan Bilge Kizkapan, Abdulhamit Misir, Abdi Keskin, Deniz Akbulut, Kadir Ilker Yildiz |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty 5 year follow up Adolescent Visual Analog Scale Tarsal Coalition Osteoarthritis Tarsal coalition Young Adult 03 medical and health sciences 0302 clinical medicine Subtalar joint Humans Medicine Orthopedics and Sports Medicine Patient Reported Outcome Measures Range of Motion Articular Child Retrospective Studies 030203 arthritis & rheumatology 030222 orthopedics business.industry Subtalar Joint Tarsal Bones medicine.disease Surgery Calcaneus medicine.anatomical_structure Synostosis Radiological weapon Orthopedic surgery Female Ankle business Range of motion Follow-Up Studies |
| Zdroj: | The Journal of Foot and Ankle Surgery. 58:1223-1228 |
| ISSN: | 1067-2516 |
| DOI: | 10.1053/j.jfas.2018.12.040 |
| Popis: | Few studies have evaluated the long-term functional and radiological outcomes of tarsal coalition resections. This study aimed to report and compare the functional and radiological outcomes after talocalcaneal (TC) and calcaneonavicular (CN) coalition resections. Thirty-three patients between 12 and 35 years old with symptomatic tarsal coalitions participated, each undergoing tarsal coalition resections (24 TC and 9 CN). The range of motion, visual analog scale score, American Orthopedic Foot and Ankle Society hindfoot scale, Maryland foot score, tripod index, and modified Kellgren-Lawrence scale for subtalar osteoarthritis were used to evaluate the functional and radiological outcomes. The mean age at the time of surgery and mean follow-up in the TC group were 17.8 ± 5.6 years (range 13 to 35) and 6.2 ± 1.7 years (range 5 to 12), respectively, and 16.0 ± 4.4 years (range 12 to 23) and 7.7 ± 3.0 years (range, 5 to 12) in the CN group. There was no difference in the range of motion, outcome scores, tripod index score, and modified Kellgren-Lawrence scale score between patients in the 2 groups. A positive correlation was noted between the size of the TC coalition, coalition/joint surface ratio, and hindfoot valgus angle regarding outcome scores. However, there was no association between the modified Kellgren-Lawrence scale score and outcome scores. At the minimum 5-year follow-up, the functional and radiological outcomes were similar between TC and CN resections. Subtalar joint osteoarthritis developed in all patients with TC resections and most patients with CN resections, but patients did not have functional impairment. |
| Databáze: | OpenAIRE |
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