Anatomic reconstruction of malunited Chopart joint injuries.
Fractures and dislocations at the mid-tarsal (Chopart) joint are frequently overlooked or misinterpreted at first presentation. Inadequate joint reduction and stabilization almost invariably lead to painful malunions or nonunions, residual instability, and deformity. Because of the central position...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 36; no. 3; pp. 196 - 206 |
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| Autores principales: | , , , |
| Formato: | diagnostic images pictorial research Journal Article |
| Publicado: |
Springer Nature
Jun2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105029599&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105029599 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Jun2010 vid: 36 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105029599 2010686695 10.1007/s00068-010-1036-3 105029599 ppf: 196 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Anatomic reconstruction of malunited Chopart joint injuries. aug: au: Rammelt S Zwipp H Schneiders W Heineck J affil: Trauma and Reconstructive Surgery, University Hospital Carl Gustav Carus, Fetscherstr. 74, 01307 Dresden, Germany; strammelt@hotmail.com sug: subj: Foot Injuries Complications Fractures, Malunited Surgery Surgery, Reconstructive Methods Adolescence Adult Case Studies Descriptive Statistics Diagnostic Errors Dislocations Female Foot Anatomy and Histology Foot Physiology Human Male Middle Age Osteonecrosis Risk Factors Outpatients Patient Satisfaction Postoperative Complications Surgery, Reconstructive Adverse Effects Treatment Outcomes Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Fractures and dislocations at the mid-tarsal (Chopart) joint are frequently overlooked or misinterpreted at first presentation. Inadequate joint reduction and stabilization almost invariably lead to painful malunions or nonunions, residual instability, and deformity. Because of the central position and the essential function of the mid-tarsal joint, malunions lead to a considerable impairment of global foot function and the rapid development of posttraumatic arthritis. While secondary anatomical reconstruction with joint preservation would be desirable in order to restore normal foot function, it is amenable only if no symptomatic arthritis or avascular necrosis is present. Over a course of 6 years, eight patients have been treated with secondary correction, joint realignment, and internal fixation. In four of these cases, nonunions of the tarsal navicular were debrided and bone-grafted; in the remaining cases, a corrective osteotomy at the navicular or cuboid was carried out. At 2 years follow-up, all but one patient were satisfied with the result. One patient underwent fusion of the talonavicular joint for avascular necrosis and collapse of the navicular. The mean American Orthopaedic Foot and Ankle Score (AOFAS) improved significantly from 38.8 preoperatively to 80.8 at follow-up. However, the majority of malunited mid-tarsal fracture-dislocations will require corrective fusion of the affected joint(s) with axial realignment because of manifest posttraumatic arthritis at the time of patient presentation. pubtype: Academic Journal doctype: diagnostic images pictorial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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