AI Article Synopsis
- - The study focused on 12 patients with talonavicular (TN) arthritis who underwent TN arthrodesis using a new implant called IO FiX, showing no nonunions over a follow-up period averaging 30 months.
- - Post-surgery, patients experienced a significant reduction in pain levels (from 7.3 to 2.1 on the Visual Analog Scale) and improvement in physical function (Short-Form-12 score increased from 27.9 to 42.2), although mental health scores remained unchanged.
- - The results suggest that the IO FiX implant, combined with an aggressive rehabilitation protocol, leads to better pain management and potentially higher fusion rates for TN arthrodesis surgeries.
Article Abstract
Unlabelled: Talonavicular (TN) arthrodeses for TN arthritis have a high rate of nonunions for an essential hindfoot joint. In this case series, 12 patients underwent an isolated TN arthrodesis using a novel implant (IO FiX) by a single surgeon with a minimum 1-year follow-up (30.1 ± 14.7 months; mean ± SD). All patients (62 ± 12 years) underwent an aggressive rehabilitation protocol given the strength and compression of the implant. There were no nonunions, nor were there any patients lost to follow-up. Time to radiographic union was 9.6 ± 1.4 weeks. The Visual Analog Scale pain level decreased from 7.3 ± 0.9 preoperatively to 2.1 ± 0.7 postoperatively (P < .001). The Short-Form-12 physical component improved from 27.9 ± 4.2 preoperatively to 42.2 ± 3.5 postoperatively (P < 0.001), while the Short-Form-12 mental component did not change from 50.8 ± 6.9 preoperatively to 54.4 ± 3.8 postoperatively (P > .05). Use of the novel fixation device for TN arthrodesis by a single surgeon with an accelerated rehabilitation protocol significantly decreased patients' pain and improved their physical functional outcomes (P < .001). The IO FiX implant can potentially improve TN arthrodesis fusion rates and surgical outcomes.
Levels Of Evidence: Therapeutic, Level IV: Case series.
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Source |
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| http://dx.doi.org/10.1177/1938640015620638 | DOI Listing |
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