Evaluation of Fixation Techniques for Metatarsocuneiform Arthrodesis
| Autor: | John G. Erickson, Eric A. Barp, Hayden L. Smith, Katrina Almeida, Kelsey Millonig |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Arthrodesis medicine.medical_treatment Nonunion Osteoporosis Bone Screws 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Postoperative Complications Sex Factors medicine Deformity Humans Orthopedics and Sports Medicine Treatment Failure Hallux Valgus Retrospective Studies 030222 orthopedics business.industry Medical record Foot and ankle surgery Retrospective cohort study 030229 sport sciences Middle Aged musculoskeletal system equipment and supplies medicine.disease Surgery Radiography surgical procedures operative Female medicine.symptom business Bone Plates |
| Zdroj: | The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 56(3) |
| ISSN: | 1542-2224 |
| Popis: | First metatarsocuneiform joint arthrodesis has been used in foot and ankle surgery for the treatment of hallux abductovalgus deformity, among other pedal pathologic entities. The goal of the present retrospective study was to compare the fusion rates and complications of an intraplate compression screw fixation, crossing solid core screw fixation, and a single interfragmentary screw with a simple locking plate. All procedures were performed by a single surgeon, and all patients received an identical postoperative protocol. A medical record review was performed of 147 evenly distributed surgical methods. All patients were non-weightbearing by protocol for 4 weeks. The patient covariates included sex, age, nicotine status, osteoporosis, and diabetes. These variables were balanced among the treatment groups and were noncontributory, with the exception of sex. Male patients had a 6 times greater odds of experiencing nonunion. The overall nonunion rate was 6.7%, with 4% symptomatic and requiring revision. The individual nonunion rates for each method were 2% for intraplate compression screw fixation, 5% for single interfragmentary screw with locking plate fixation, and 9% for crossing solid core screw fixation. None of the differences reached statistical significance. The corresponding hardware removal rates were 12%, 11%, and 0%. |
| Databáze: | OpenAIRE |
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