Use of Remodeled Femoral Head Allograft for Tarsal Reconstruction in the Treatment of Müller-Weiss Disease

Tan, Anouk; Smulders, Yvonne C. M. M.; Zöphel, Oliver T.

doi:10.1053/j.jfas.2011.04.043

Cited by 34 publications

(31 citation statements)

References 11 publications

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“…7,[9][10][11]22,[39][40][41] It is critical to note that improvements with appropriate conservative management have been well rationalized and are expected, 42 highlighting that a responsible approach to the treatment of MWD involves, at a minimum, a trial of nonoperative management. 7,[9][10][11]22,[39][40][41] It is critical to note that improvements with appropriate conservative management have been well rationalized and are expected, 42 highlighting that a responsible approach to the treatment of MWD involves, at a minimum, a trial of nonoperative management.…”

Section: Resultsmentioning

confidence: 99%

“…The essential requirement of the structure of the navicular bone and its relationship with the acetabulum paedis to maintain normal foot function can be seen in MWD. 1,10,11 Blood Supply 1,6 The progression of this deformity follows a progression that has been described in 5 stages, although, in reality, this disease progresses along a continuum of disease 7 (Table 1).…”

Section: The Navicularmentioning

confidence: 99%

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The Treatment of Mueller-Weiss Disease: A Systematic Approach

Mayich

2016

Techniques in Foot &Amp; Ankle Surgery

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Mueller-Weiss disease (MWD), which involves dorsolateral fragmentation and collapse of the navicular, leads to functional misalignment and painful deformities. The successful treatment of MWD hinges on a detailed and through assessment of the patient to establish the modality of treatment that best suits the patient. In cases where operative management is indicated, proceeding to recreate a relatively pain-manageable (or where possible pain free), well-aligned, plantegrade foot is the goal. This can be performed technically by (1) determining as to which joints are involved/arthritic, and ensuring to address them; (2) establishing the amount of bone loss present, and planning to reconstitute this with graft material; (3) preparing the graft bed adequately and diligently to optimize the healing environment for the graft material; (4) providing a biomechanically sound treatment strategy that provides stability while the graft material heals; (5) and using orthopaedic principles while also remaining flexible. This is important because there is considerable variability in the anatomy and characteristics of MWD. Because of this, no single strategy is likely the "correct" method. Although the supporting literature remains sparse, when these principles are followed and postoperative complications can be avoided, significant improvements in function have been demonstrated and can be anticipated.Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.

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Section: Resultsmentioning

confidence: 99%

Section: The Navicularmentioning

confidence: 99%

The Treatment of Mueller-Weiss Disease: A Systematic Approach

Mayich

2016

Techniques in Foot &Amp; Ankle Surgery

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“…The dorsal and volar parts of the bone are separately supplied by the branches of the dorsalis pedis and medial plantar artery. Thus, the central middle third of the navicular is at risk of osteonecrosis in the presence of obstructed peripheral blood flow [4,8,9]. The osteonecrosis of the navicular and perinavicular joint osteoarthritis progress under the aforementioned increasing plantar pressure of the midfoot.…”

Section: Discussionmentioning

confidence: 99%

“…Müller‐Weiss disease (MWD) is a rare pathological entity of unclear etiology that demonstrates collapse of the lateral part of the navicular, plantar deviation of the talar head resulting in hindfoot varus with flatfoot deformity, and perinavicular osteoarthritis [1–9]. Radiography is typically characteristic of abnormalities of the navicular bone (decreased size, a comma‐shaped configuration, increased radiodensity, fragmentation, and medial or medial and dorsal osseous protrusion) [2,4].…”

Section: Introductionmentioning

confidence: 99%

Isolated talonavicular arthrodesis for Müller‐Weiss disease

Cheng

et al. 2014

The Kaohsiung J of Med Scie

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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.

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“…In 2011, Tan et al advocated complete excision of fragmented navicular and reconstruction of the medial longitudinal arch with the help of allograft between the talus and medial cuneiform. 13 Stabilization of the construct was achieved using a low profile plate extending from talus to medial cuneiform. In 2012, Cao et al described TNC arthrodesis with a dorsal-based closing wedge osteotomy through talonavicular joint.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous osteonecrosis of navicular and talus (SONNT)

Vaishya

Kumar

Agarwal

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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We describe a rare case of simultaneous and spontaneous osteonecrosis affecting bilateral navicular and talar bones in a young male. On both sides, there was associated symptomatic talonavicular and naviculocuneiform arthritis. The more symptomatic left foot was managed successfully by talonavicular-cuneiform (TNC) arthrodesis and core decompression of talar body. A probable cause of this rare disorder was most likely due to a developmental anomaly in the preaxial ray of the foot. As no literature is currently available for this rare condition, our case report is intended to provide a referral point for future studies in the early diagnosis and management of this condition.

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Use of Remodeled Femoral Head Allograft for Tarsal Reconstruction in the Treatment of Müller-Weiss Disease

Cited by 34 publications

References 11 publications

The Treatment of Mueller-Weiss Disease: A Systematic Approach

The Treatment of Mueller-Weiss Disease: A Systematic Approach

Isolated talonavicular arthrodesis for Müller‐Weiss disease

Spontaneous osteonecrosis of navicular and talus (SONNT)

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