Effectiveness of talonavicular arthrodesis for Müller-Weiss disease_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

HU Dong ¹ , ZHANG Yan ¹ ,  LIANG Xiaojun ² , LI Yi ² , ZHAO Hongmou ²

1. Xi’an Medical University, Xi’an Shaanxi, 710068, P.R.China;
2. Department of Foot and Ankle Surgery, Honghui Hospital Affiliated to Medical College of Xi’an Jiaotong University, Xi’an Shaanxi, 710054, P.R.China;

Corresponding author：

LIANG Xiaojun, Email: liangxj33369@163.com

Keywords：

Müller-Weiss disease; navicular bone; talonavicular joint; arthrodesis

DOI：

10.7507/1002-1892.201703052

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Objective To evaluate the short-term effectiveness of talonavicular arthrodesis for Müller-Weiss disease. Methods Between May 2013 and February 2015, 13 patients with Müller-Weiss disease were treated with talonavicular arthrodesis. There were 11 females and 2 males with an average age of 59 years (range, 42-67 years). The disease duration was 8-20 years (mean, 13 years). According to Maceira stage, there were 7 cases of stage Ⅲ, 6 cases of stage Ⅳ. The foot longitudinal arch height measured on weight-bearing X-ray films was (43.1±1.8) mm; the Meary angle and talocalcaneal angle measured on lateral X-ray films were (–2.8±2.3)° and (5.8±2.4)°, respectively; the calcaneal valgus angle measured on Saltzman position X-ray films was (–2.0±0.7)°. The American Orthopaedic Foot and Ankle Society (AOFAS) score was 43.5±12.4, and visual analogue scale (VAS) score was 7.3±1.5. Results All the patients were followed up 14-39 months (mean, 20 months). The symptoms of foot pain and intermittent claudication disappeared in all patients. All cases achieved bony union, the fusion time was 12-16 weeks (mean, 13 weeks). There was no complications such as wound infection, skin necrosis, or internal fixator broken. At last follow-up, the foot longitudinal arch height, Meary angle, talocalcaneal angle, and calcaneal valgus angle were (52.5±2.2) mm, (1.3±2.2)°, (16.5±3.7)°, and (0.4±0.7)°, respectively; the AOFAS score and VAS score were 83.8±9.1 and 1.0±0.4, respectively; all were significantly improved when compared with preoperative ones (P<0.05). Conclusion If the subtalar and calcaneocuboid joints are relatively healthy, talonavicular arthrodesis may be a reliable and effective surgical option for Müller-Weiss disease that is resistant to conservative treatment.

Citation： HU Dong, ZHANG Yan, LIANG Xiaojun, LI Yi, ZHAO Hongmou. Effectiveness of talonavicular arthrodesis for Müller-Weiss disease. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(12): 1434-1437. doi: 10.7507/1002-1892.201703052 Copy

1.	Fornaciari P, Gilgen A, Zwicky L, et al. Isolated talonavicular fusion with tension band for Müller-Weiss syndrome. Foot Ankle Int, 2014, 35(12): 1316-1322.
2.	Samim M, Moukaddam HA, Smitaman E. Imaging of Müller-Weiss Syndrome: A Review of Clinical Presentations and Imaging Spectrum. AJR Am J Roentgenol, 2016, 207(2): W8-W18.
3.	Maceira E, Rochera R. Müller-Weiss disease: clinical and biomechanical features. Foot Ankle Clin, 2004, 9(1): 105-125.
4.	Li SY, Myerson MS, Monteagudo M, et al. Efficacy of Calcaneus Osteotomy for Treatment of Symptomatic Müller-Weiss Disease. Foot Ankle Int, 2017, 38(3): 261-269.
5.	Mohiuddin T, Jennison T, Damany D. Müller-Weiss disease——review of current knowledge. Foot Ankle Surg, 2014, 20(2): 79-84.
6.	Cao HH, Tang KL, Xu JZ. Peri-navicular arthrodesis for the Stage III Müller-Weiss disease. Foot Ankle Int, 2012, 33(6): 475-478.
7.	Fernándezd de Retana P, Maceira E, Fernández-Valencia JA, et al. Arthrodesis of the talonavicular-cuneiform joints in Müller-Weiss disease. Foot Ankle Clin, 2004, 9(1): 65-72.
8.	Lui TH. Arthroscopic triple arthrodesis in patients with Müller Weiss disease. Foot Ankle Surg, 2009, 15(3): 119-122.
9.	Reade B, Atlas G, Distazio J, et al. Müller-Weiss syndrome: an uncommon cause of midfoot pain. J Foot Ankle Surg, 1998, 37(6): 535-539.
10.	Lu CK, Fu YC, Cheng YM, et al. Isolated talonavicular arthrodesis for Müller-Weiss disease. Kaohsiung J Med Sci, 2014, 30(9): 471-476.
11.	Ma S, Jin D. Isolated Talonavicular Arthrodesis. Foot Ankle Int, 2016, 37(8): 905-908.
12.	马盛辉, 金丹. 单纯距舟关节融合手术疗效及其并发症的研究进展. 中华创伤杂志, 2015, 31(2): 121-123.
13.	Higgs Z, Jamal B, Fogg QA, et al. An anatomical study comparing two surgical approaches for isolated talonavicular arthrodesis. Foot Ankle Int, 2014, 35(10): 1063-1067.
14.	Granata JD, Berlet GC, Ghotge R, et al. Talonavicular joint fixation: a biomechanical comparison of locking compression plates and lag screws. Foot Ankle Spec, 2014, 7(1): 20-31.
15.	Chatellard R, Berhouet J, Brilhault J. Efficiency of locking-plate fixation in isolated talonavicular fusion. Orthop Traumatol Surg Res, 2016, 102(4 Suppl): S235-S239.

1. Fornaciari P, Gilgen A, Zwicky L, et al. Isolated talonavicular fusion with tension band for Müller-Weiss syndrome. Foot Ankle Int, 2014, 35(12): 1316-1322.
2. Samim M, Moukaddam HA, Smitaman E. Imaging of Müller-Weiss Syndrome: A Review of Clinical Presentations and Imaging Spectrum. AJR Am J Roentgenol, 2016, 207(2): W8-W18.
3. Maceira E, Rochera R. Müller-Weiss disease: clinical and biomechanical features. Foot Ankle Clin, 2004, 9(1): 105-125.
4. Li SY, Myerson MS, Monteagudo M, et al. Efficacy of Calcaneus Osteotomy for Treatment of Symptomatic Müller-Weiss Disease. Foot Ankle Int, 2017, 38(3): 261-269.
5. Mohiuddin T, Jennison T, Damany D. Müller-Weiss disease——review of current knowledge. Foot Ankle Surg, 2014, 20(2): 79-84.
6. Cao HH, Tang KL, Xu JZ. Peri-navicular arthrodesis for the Stage III Müller-Weiss disease. Foot Ankle Int, 2012, 33(6): 475-478.
7. Fernándezd de Retana P, Maceira E, Fernández-Valencia JA, et al. Arthrodesis of the talonavicular-cuneiform joints in Müller-Weiss disease. Foot Ankle Clin, 2004, 9(1): 65-72.
8. Lui TH. Arthroscopic triple arthrodesis in patients with Müller Weiss disease. Foot Ankle Surg, 2009, 15(3): 119-122.
9. Reade B, Atlas G, Distazio J, et al. Müller-Weiss syndrome: an uncommon cause of midfoot pain. J Foot Ankle Surg, 1998, 37(6): 535-539.
10. Lu CK, Fu YC, Cheng YM, et al. Isolated talonavicular arthrodesis for Müller-Weiss disease. Kaohsiung J Med Sci, 2014, 30(9): 471-476.
11. Ma S, Jin D. Isolated Talonavicular Arthrodesis. Foot Ankle Int, 2016, 37(8): 905-908.
12. 马盛辉, 金丹. 单纯距舟关节融合手术疗效及其并发症的研究进展. 中华创伤杂志, 2015, 31(2): 121-123.
13. Higgs Z, Jamal B, Fogg QA, et al. An anatomical study comparing two surgical approaches for isolated talonavicular arthrodesis. Foot Ankle Int, 2014, 35(10): 1063-1067.
14. Granata JD, Berlet GC, Ghotge R, et al. Talonavicular joint fixation: a biomechanical comparison of locking compression plates and lag screws. Foot Ankle Spec, 2014, 7(1): 20-31.
15. Chatellard R, Berhouet J, Brilhault J. Efficiency of locking-plate fixation in isolated talonavicular fusion. Orthop Traumatol Surg Res, 2016, 102(4 Suppl): S235-S239.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of talonavicular arthrodesis for Müller-Weiss disease

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