Triple arthrodesis and lambrinudi arthrodesis

Dekelver, L.; Fabry, Guy; Mulier, J. C.

doi:10.1007/bf01246138

Cited by 9 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the non-union group, when compared to the complete union group, tended to remain non-weight-bearing longer, be significantly older, with fewer previous surgeries, and different underlying diagnosis. Many of these factors were suggested in prior studies [ 8 , 11 , 13 , 18 , 28 , 29 ]. It would seem logical to speculate that fibrous union (pseudoarthroses) was sufficient to restrict motion in the non-union group and, thereby, preclude discomfort.…”

Section: Discussionmentioning

confidence: 99%

“…Factors leading to incomplete union have been described in the literature and include the absence of internal fixation, poor bony contact, and early weight-bearing [ 8 , 13 , 28 , 29 ]. Early weight-bearing seems to have the greatest effect on disruption of joint union [ 13 , 28 , 29 ] and the vertical shear forces from early weight-bearing may contribute to the high incidence of non-union in the talonavicular joint [ 1 ]. Other factors that have been implicated in incomplete union include age [ 9 , 13 ], the underlying diagnosis, surgical technique for fixation [ 11 , 13 , 18 ], and presence of deep wound infection [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Partial or non-union after triple arthrodesis in children: Does it really matter?

Wicks

Morscher

Newton

et al. 2016

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

PurposeTriple arthrodesis is a commonly performed salvage procedure to correct hindfoot deformity. Non-union is considered an undesirable radiographic outcome; however, the clinical ramifications of this are not as well defined. The purpose of this study was to determine the incidence of partial or complete radiographic non-union after triple arthrodesis in children and characterize the clinical consequences.MethodsAn IRB-approved retrospective review of triple arthrodesis surgeries in patients less than 16 years of age performed by a single surgeon (DSW) identified 159 cases meeting the inclusion criteria. Plain radiographs were reviewed for bony fusion (defined as over 80 % radiographic bony union of the subtalar, calcaneocuboid, and talonavicular bones) and charts for clinical outcomes (pain, return to activity, and subsequent hindfoot surgeries). Statistics were used to compare the fused and unfused cases, with p < 0.05 considered to be significant.ResultsOf the 159 cases included in the study, 9 % did not achieve at least 80 % plain film radiographic union. The fused and unfused groups had similar clinical outcomes. Only one patient required surgery for sequelae of symptoms arising from a pseudoarthrosis related to the triple arthrodesis. The fused and unfused groups were similar in terms of gender and pin removal time, but differed significantly in surgical age and underlying diagnosis.ConclusionsThis is one of the largest case series of pediatric triple arthrodesis surgery presented in the literature. This study demonstrated that good clinical outcomes can be achieved despite the lack of radiographic union after triple arthrodesis surgery in children.Level of evidenceIV.Electronic supplementary materialThe online version of this article (doi:10.1007/s11832-016-0730-z) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Partial or non-union after triple arthrodesis in children: Does it really matter?

Wicks

Morscher

Newton

et al. 2016

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

show abstract

The foot-ground pressure distribution following triple arthrodesis

Stein

Simkin

Joseph

1981

Arch. Orth. Traum. Surg.

View full text Add to dashboard Cite

The present is a long-term follow-up study of patients who underwent triple arthrodesis for a variety of pathologic alterations. Utilizing a new method for both the qualitative and quantitative measurement of foot-ground pressure patterns, these patterns were recorded in forty control feet and twenty-six operated feet. In the patient group, less equal distribution of body weight between both feet was observed in comparison to the control group. In the latter, the main load underneath the foot was distributed underneath the forefoot and heel, while in the patient group, this load distribution had persistently shifted to the midfoot and heel, thus producing a completely different foot-ground pressure pattern. Furthermore, under the forefoot, the main load was located under the medial two rays in the control group, shifting towards the lateral rays in the patient group. The talo-navicular joint had the highest rate of non-union, but no positive correlation between that finding and persistent pain was found. Feet affected by neurological disorders often became pain-free following surgery, but none of the patients showed such post-traumatic relief.

show abstract

Schwere Fußdeformitäten im Jugend- und Erwachsenenalter — Techniken nach Imhäuser, Lelièvre und Lambrinudi

Schwetlick

Syré²

2006

Orthopäde

View full text Add to dashboard Cite

Severe contraction deformities of the foot, e.g. after trauma or spasticity, often lead to an inability to walk and can, in part, only be rectified by corrective bone osteotomy of the hind and middle foot. In this article, we discuss hind and middle foot osteotomies in cases of severe foot deformities in adolescents and adults. The surgical techniques of Lambrinudi, Imhäuser and Lelièvre will be considered. The surgical technique of Lambrinudi uses a triple arthrodesis between the talus, calcaneus and navicular bones, and the cuboid bone, in addition to the removal of a bone wedge from the talus for correction of the talipes equinus deformity. Severe contraction talipes calvus can be straightened and capable of loading using Imhäuser's technique with wedge osteotomy and arthrodesis in Chopart's joint. The planigrade position is achieved by the removal of a dorsolaterally based wedge from Chopart's joint. Using Lelièvre technique, severe contraction club foot with hind foot varus can be treated with a wedge from Chopart's joint and the talocalcaneal joint with arthrodesis. For stabilization, a compression clamp system is used. The advantages of the system used by us is that, in comparison with other systems, it can also be used for sclerotic bones as the shank is not hammered in but is introduced after boring. Using the compression clamp system, good stability and a high rate of osseous blood circulation can be achieved using osteotomies and arthrodeses. The aim of surgery is, in all cases, the correction of the deformity, functional improvement and the elimination of pressure points and pain.

show abstract

Triple arthrodesis and lambrinudi arthrodesis

Cited by 9 publications

References 18 publications

Partial or non-union after triple arthrodesis in children: Does it really matter?

Partial or non-union after triple arthrodesis in children: Does it really matter?

The foot-ground pressure distribution following triple arthrodesis

Schwere Fußdeformitäten im Jugend- und Erwachsenenalter — Techniken nach Imhäuser, Lelièvre und Lambrinudi

Contact Info

Product

Resources

About