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Interpositional Arthroplasty Using Tibialis Anterior Tendon for Talonavicular Arthritis after Ankle Arthrodesis: A Case Report

족관절 유합술 후 발생한 거주상 관절염의 전경골 건 개재 관절성형술: 증례 보고

  • Cho, Seong-Hee (Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Seo, Min-Seok (Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Lee, Eun-Chang (Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Nam, Dae-Cheol (Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine)
  • 조성희 (경상국립대학교 의과대학 경상국립대학교병원 정형외과학교실) ;
  • 서민석 (경상국립대학교 의과대학 경상국립대학교병원 정형외과학교실) ;
  • 이은창 (경상국립대학교 의과대학 경상국립대학교병원 정형외과학교실) ;
  • 남대철 (경상국립대학교 의과대학 경상국립대학교병원 정형외과학교실)
  • Received : 2021.01.25
  • Accepted : 2021.02.17
  • Published : 2021.03.15

Abstract

Ankle arthrodesis has been used frequently for end-stage ankle arthritis that does not respond to conservative treatment. On the other hand, there are concerns regarding the degenerative changes to the adjacent joint, such as the subtalar or talonavicular joint, due to the altered biomechanics after the loss of ankle motion. Because the arthrodesis for these midtarsal joints may overload stress on another contiguous joint, a salvage procedure should be considered rather than joint sacrificing. This paper reports a case of talonavicular arthritis after malunited ankle arthrodesis that was treated with interpositional arthroplasty using the tibialis anterior tendon.

Keywords

Acknowledgement

This study was supported by the 2016 research base funding program (2016-0793, GRNT 2016090044) from Gyeongsang National University.

References

  1. Takakura Y, Tanaka Y, Sugimoto K, Akiyama K, Tamai S. Long-term results of arthrodesis for osteoarthritis of the ankle. Clin Orthop Relat Res. 1999;(361):178-85. doi: 10.1097/00003086-199904000-00023.
  2. Fuchs S, Sandmann C, Skwara A, Chylarecki C. Quality of life 20 years after arthrodesis of the ankle. A study of adjacent joints. J Bone Joint Surg Br. 2003;85:994-8. doi: 10.1302/0301-620x.85b7.13984.
  3. Buck P, Morrey BF, Chao EY. The optimum position of arthrodesis of the ankle. A gait study of the knee and ankle. J Bone Joint Surg Am. 1987;69:1052-62. https://doi.org/10.2106/00004623-198769070-00014
  4. Hefti FL, Baumann JU, Morscher EW. Ankle joint fusion: determination of optimal position by gait analysis. Arch Orthop Trauma Surg. 1980;96:187-95. doi: 10.1007/BF00457782.
  5. Patel A, Eleftheriou KI, Anand A, Rosenfeld P. Bilateral excision arthroplasty and interpositional allograft for severe talonavicular osteoarthritis. Foot Ankle Int. 2013;34:1294-8. doi: 10.1177/1071100713484006.
  6. Matsumoto T, Kasai T, Uchio A, Izawa N, Takuo J, Tanaka S. Excision arthroplasty with interpositional Achilles tendon autograft: a novel approach to talonavicular joint osteoarthritis associated with ankle arthrodesis. J Foot Ankle Surg. 2020;59:440-4. doi: 10.1053/j.jfas.2019.08.029.
  7. Kim DH, Berkowitz MJ. Allograft dermal matrix interpositional arthroplasty in the treatment of failed revision arthrodesis at the talonavicular joint. Foot Ankle Int. 2014;35:619-22. doi: 10.1177/1071100714528497.