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Tytuł:
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Arthroscopic Calcaneonavicular Coalition and Too-long Anterior Process of the Calcaneus Resection in Children.
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Autorzy:
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Knörr J; Surgeon, Orthopaedic Surgery Department, Vall Hebron Barcelona Hospital Campus, Universistat Autonoma de Barcelona, Barcelona, Spain. Electronic address: .
Diaz-Gallardo P; Surgeon, Orthopaedic Surgery Department, Vall Hebron Barcelona Hospital Campus, Universistat Autonoma de Barcelona, Barcelona, Spain.
Soldado F; Surgeon, Orthopaedic Surgery Department, Vall Hebron Barcelona Hospital Campus, Universistat Autonoma de Barcelona, Barcelona, Spain; Surgeon, Pediatric Hand Surgery and Microsurgery Department, Vall Hebron Barcelona Hospital Campus, Universistat Autonoma de Barcelona, Barcelona, Spain.
Domenech P; Surgeon, Orthopaedic Surgery Department, Vall Hebron Barcelona Hospital Campus, Universistat Autonoma de Barcelona, Barcelona, Spain.
Torres-Perez A; Surgeon, Hospital Universitario Santa Lucia de Cartagena, Cartagena, Spain.
Sales de Gauzy J; Surgeon, Pediatric Orthopedic Surgery Department, Hôpital des Enfants, CHU Toulouse, France.
Bergua-Domingo JM; Surgeon, Orthopaedic Surgery Department, Vall Hebron Barcelona Hospital Campus, Universistat Autonoma de Barcelona, Barcelona, Spain.
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Źródło:
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The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2021 Mar-Apr; Vol. 60 (2), pp. 228-232. Date of Electronic Publication: 2021 Jan 16.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: 2003- : Philadelphia : W.B. Saunders
Original Publication: Baltimore, MD : Williams & Wilkins, c1993-
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MeSH Terms:
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Calcaneus*/diagnostic imaging
Calcaneus*/surgery
Synostosis*/diagnostic imaging
Synostosis*/surgery
Tarsal Bones*
Arthroscopy ; Child ; Humans ; Infant ; Prospective Studies ; Treatment Outcome
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Contributed Indexing:
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Keywords: arthroscopy; calcaneonavicular coalition; foot arthroscopy; talus; too-long anterior process of the calcaneus
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SCR Disease Name:
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Synostoses, tarsal, carpal, and digital
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Entry Date(s):
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Date Created: 20210119 Date Completed: 20210621 Latest Revision: 20210621
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Update Code:
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20240105
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DOI:
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10.1053/j.jfas.2019.03.020
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PMID:
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33461922
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Persistent symptomatic calcaneonavicular coalition (CNC) and too-long anterior process of the calcaneus (TLAP) are congenital disorders that can benefit from surgical treatment. The arthroscopic technique for CNC and TLAP resection has previously been described. The aim of this prospective study was to describe outcomes following arthroscopic resection of 12 (38.71%) CNC and 19 (61.29%) TLAP cases in 30 consecutive pediatric patients treated between July 2009 and March 2013. There mean age was 12.4 (range 10 to 15) years, and the mean follow-up was 55.2 (range 24 to 79) months. Radiographs, American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scores, AOFAS pain scores, and patient satisfaction were assessed. All final postoperative imaging scans revealed complete synostosis resection without recurrence. The mean overall AOFAS Ankle-Hindfoot Score increased from 78.87 (95% confidence interval [CI] 76.74 to 81.01) to 93.06 (95% CI 91.10 to 95.03) (p < .001). All patients showed pain reduction after surgery; even 1 patient (3.23%) who initially developed complex regional pain syndrome eventually had a successful outcome. The mean AOFAS pain score increased from 23.87 (95% CI 22.05 to 25.69) to 34.84 (95% CI 32.97 to 36.70) (p < .001). All patients were either satisfied (n = 9 [30%]) or very satisfied (n = 21 [70%]) with the intervention at the final follow-up. Although both arthroscopic CNC and TLAP resection are demanding techniques, they allow for precise coalition resection through a less invasive approach, which may ultimately lead to faster recovery and improved outcomes.
(Copyright © 2021. Published by Elsevier Inc.)
