Results of arthrodesis of the tarsometatarsal joints after traumatic injury

摘要: We retrospectively reviewed the records of thirty-two patients who had an arthrodesis tarsometatarsal joints for intractable pain after a traumatic injury midfoot. The was performed at mean thirty-five months (range, six to 108 months) injury. All procedures were with use rigid internal fixation, and twenty-four patients, in whom defect been created by debridement joints, managed autogenous bone graft. Nine least one concomitant procedure, including claw-toe procedure (eight patients), reconstruction posterior tibial tendon (three excision interdigital neuroma calcaneocuboid joint (one patient), ankle patient). Complications included neuritis three patients; metatarsalgia two; malunion asymptomatic non-union, wound slough, superficial infection, reflex sympathetic dystrophy each. evaluated fifty 105 arthrodesis. evaluation physical examination, radiographs, rating scale American Orthopaedic Foot Ankle Society postoperative score 78 (of possible 100) points significantly better than preoperative 44 (p = 0.02). With numbers available, we could not show that extent arthrodesis, involvement other hindfoot or forefoot, mechanism injury, whether work-related affected functional outcome.