Individual headless compression screws fixed with three-dimensional image processing technology improves fusion rates of isolated talonavicular arthrodesis
Screw fixation is a typical technique for isolated talonavicular arthrodesis (TNA), however, no consensus has been reached on how to select most suitable inserted position and direction. The study aimed to present a new fixation technique and to evaluate the clinical outcome of individual headless c...
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| creator | Xie, Mei-Ming Xia, Kang Zhang, Hong-Xin Cao, Hong-Hui Yang, Zhi-Jin Cui, Hai-Feng Gao, Shang Tang, Kang-Lai |
| description | Screw fixation is a typical technique for isolated talonavicular arthrodesis (TNA), however, no consensus has been reached on how to select most suitable inserted position and direction. The study aimed to present a new fixation technique and to evaluate the clinical outcome of individual headless compression screws (HCSs) applied with three-dimensional (3D) image processing technology to isolated TNA.
From 2007 to 2014, 69 patients underwent isolated TNA by using double Acutrak HCSs. The preoperative three-dimensional (3D) insertion model of double HCSs was applied by Mimics, Catia, and SolidWorks reconstruction software. One HCS oriented antegradely from the edge of dorsal navicular tail where intersected interspace between the first and the second cuneiform into the talus body along the talus axis, and the other one paralleled the first screw oriented from the dorsal-medial navicular where intersected at the medial plane of the first cuneiform. The anteroposterior and lateral X-ray examinations certified that the double HCSs were placed along the longitudinal axis of the talus. Postoperative assessment included the American Orthopaedic Foot & Ankle Society hindfoot (AOFAS), the visual analogue scale (VAS) score, satisfaction score, imaging assessments, and complications.
At the mean 44-months follow-up, all patients exhibited good articular congruity and solid bone fusion at an average of 11.26 ± 0.85 weeks (range, 10 ~ 13 weeks) without screw loosening, shifting, or breakage. The overall fusion rates were 100%. The average AOFAS score increased from 46.62 ± 4.6 (range, 37 ~ 56) preoperatively to 74.77 ± 5.4 (range, 64-88) at the final follow-up (95% CI: -30.86 ~ -27.34; p |
| doi_str_mv | 10.1186/s13018-017-0516-0 |
| format | Article |
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From 2007 to 2014, 69 patients underwent isolated TNA by using double Acutrak HCSs. The preoperative three-dimensional (3D) insertion model of double HCSs was applied by Mimics, Catia, and SolidWorks reconstruction software. One HCS oriented antegradely from the edge of dorsal navicular tail where intersected interspace between the first and the second cuneiform into the talus body along the talus axis, and the other one paralleled the first screw oriented from the dorsal-medial navicular where intersected at the medial plane of the first cuneiform. The anteroposterior and lateral X-ray examinations certified that the double HCSs were placed along the longitudinal axis of the talus. Postoperative assessment included the American Orthopaedic Foot & Ankle Society hindfoot (AOFAS), the visual analogue scale (VAS) score, satisfaction score, imaging assessments, and complications.
At the mean 44-months follow-up, all patients exhibited good articular congruity and solid bone fusion at an average of 11.26 ± 0.85 weeks (range, 10 ~ 13 weeks) without screw loosening, shifting, or breakage. The overall fusion rates were 100%. The average AOFAS score increased from 46.62 ± 4.6 (range, 37 ~ 56) preoperatively to 74.77 ± 5.4 (range, 64-88) at the final follow-up (95% CI: -30.86 ~ -27.34; p < 0.001). The mean VAS score decreased from 7.01 ± 1.2 (range, 4 ~ 9) to 1.93 ± 1.3 (range, 0 ~ 4) (95% CI: 4.69 ~ 5.48; p < 0.001). One cases (1.45%) and three cases (4.35%) experienced wound infection and adjacent arthritis respectively. The postoperative satisfaction score including pain relief, activities of daily living, and return to recreational activities were good to excellent in 62 (89.9%) cases.
Individual 3D reconstruction of HCSs insertion model can be designed with three-dimensional image processing technology in TNA. The technology is safe, effective, and reliable to isolated TNA method with high bone fusion rates, low incidences of complications.</description><identifier>ISSN: 1749-799X</identifier><identifier>EISSN: 1749-799X</identifier><identifier>DOI: 10.1186/s13018-017-0516-0</identifier><identifier>PMID: 28114949</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Activities of Daily Living ; Adult ; Aged ; Arthrodesis ; Arthrodesis - adverse effects ; Arthrodesis - instrumentation ; Arthrodesis - methods ; Arthrodesis - rehabilitation ; Bone Screws ; Compressive Strength ; Female ; Follow-Up Studies ; Health aspects ; Humans ; Imaging, Three-Dimensional - methods ; Internal fixation ; Male ; Methods ; Middle Aged ; Orthopedics ; Patient outcomes ; Patient Satisfaction ; Preoperative Care - methods ; Talus - diagnostic imaging ; Talus - surgery ; Tarsal Bones - diagnostic imaging ; Tarsal Bones - surgery ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>Journal of orthopaedic surgery and research, 2017-01, Vol.12 (1), p.17-17, Article 17</ispartof><rights>COPYRIGHT 2017 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2017</rights><rights>The Author(s). 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-d7bd18ed5158e6379cacde7ebf8308ef3db4399ca39ef02349d0073f7bae4f853</citedby><cites>FETCH-LOGICAL-c494t-d7bd18ed5158e6379cacde7ebf8308ef3db4399ca39ef02349d0073f7bae4f853</cites><orcidid>0000-0002-0370-106X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5259994/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5259994/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28114949$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xie, Mei-Ming</creatorcontrib><creatorcontrib>Xia, Kang</creatorcontrib><creatorcontrib>Zhang, Hong-Xin</creatorcontrib><creatorcontrib>Cao, Hong-Hui</creatorcontrib><creatorcontrib>Yang, Zhi-Jin</creatorcontrib><creatorcontrib>Cui, Hai-Feng</creatorcontrib><creatorcontrib>Gao, Shang</creatorcontrib><creatorcontrib>Tang, Kang-Lai</creatorcontrib><title>Individual headless compression screws fixed with three-dimensional image processing technology improves fusion rates of isolated talonavicular arthrodesis</title><title>Journal of orthopaedic surgery and research</title><addtitle>J Orthop Surg Res</addtitle><description>Screw fixation is a typical technique for isolated talonavicular arthrodesis (TNA), however, no consensus has been reached on how to select most suitable inserted position and direction. The study aimed to present a new fixation technique and to evaluate the clinical outcome of individual headless compression screws (HCSs) applied with three-dimensional (3D) image processing technology to isolated TNA.
From 2007 to 2014, 69 patients underwent isolated TNA by using double Acutrak HCSs. The preoperative three-dimensional (3D) insertion model of double HCSs was applied by Mimics, Catia, and SolidWorks reconstruction software. One HCS oriented antegradely from the edge of dorsal navicular tail where intersected interspace between the first and the second cuneiform into the talus body along the talus axis, and the other one paralleled the first screw oriented from the dorsal-medial navicular where intersected at the medial plane of the first cuneiform. The anteroposterior and lateral X-ray examinations certified that the double HCSs were placed along the longitudinal axis of the talus. Postoperative assessment included the American Orthopaedic Foot & Ankle Society hindfoot (AOFAS), the visual analogue scale (VAS) score, satisfaction score, imaging assessments, and complications.
At the mean 44-months follow-up, all patients exhibited good articular congruity and solid bone fusion at an average of 11.26 ± 0.85 weeks (range, 10 ~ 13 weeks) without screw loosening, shifting, or breakage. The overall fusion rates were 100%. The average AOFAS score increased from 46.62 ± 4.6 (range, 37 ~ 56) preoperatively to 74.77 ± 5.4 (range, 64-88) at the final follow-up (95% CI: -30.86 ~ -27.34; p < 0.001). The mean VAS score decreased from 7.01 ± 1.2 (range, 4 ~ 9) to 1.93 ± 1.3 (range, 0 ~ 4) (95% CI: 4.69 ~ 5.48; p < 0.001). One cases (1.45%) and three cases (4.35%) experienced wound infection and adjacent arthritis respectively. The postoperative satisfaction score including pain relief, activities of daily living, and return to recreational activities were good to excellent in 62 (89.9%) cases.
Individual 3D reconstruction of HCSs insertion model can be designed with three-dimensional image processing technology in TNA. The technology is safe, effective, and reliable to isolated TNA method with high bone fusion rates, low incidences of complications.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthrodesis</subject><subject>Arthrodesis - adverse effects</subject><subject>Arthrodesis - instrumentation</subject><subject>Arthrodesis - methods</subject><subject>Arthrodesis - rehabilitation</subject><subject>Bone Screws</subject><subject>Compressive Strength</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Internal fixation</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Patient outcomes</subject><subject>Patient Satisfaction</subject><subject>Preoperative Care - methods</subject><subject>Talus - diagnostic imaging</subject><subject>Talus - surgery</subject><subject>Tarsal Bones - diagnostic imaging</subject><subject>Tarsal Bones - surgery</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>1749-799X</issn><issn>1749-799X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptUk1v1DAQjRCIloUfwAVZ4sIlxV7HiX1Bqio-KlXiAhI3y2uPE1dOvNjJtv0t_Flmu6W0CPng8cx7z57xq6rXjJ4wJtv3hXHKZE1ZV1PB2po-qY5Z16i6U-rH0wfxUfWilEtKBRWyeV4drSVjjWrUcfXrfHJhF9xiIhnAuAilEJvGbcYgpIkUm-GqEB-uwZGrMA9kHjJA7cII0x6BxDCaHsg2J7snTT2ZwQ5Tiqm_wRrmd4AKy61eNjMekiehpIixI7OJqLILdokmE5NRPzkoobysnnkTC7y621fV908fv519qS--fj4_O72oLfYw167bOCbBCSYktLxT1lgHHWy85FSC527TcIVZrsDTNW-Uo7TjvtsYaLwUfFV9OOhul80IzsI0ZxP1NmNf-UYnE_TjyhQG3aedFmuhlGpQ4N2dQE4_FyizHkOxEKOZIC1F41-xlrYdlQh9-w_0Mi0Zh3iLEpQLfN9fVG8i6DD5hPfavag-bSRtqWiwg1V18h8ULgdjsGkCHzD_iMAOBJtTKRn8fY-M6r2j9MFRGh2l947SFDlvHg7nnvHHQvw3oTDMPg</recordid><startdate>20170123</startdate><enddate>20170123</enddate><creator>Xie, Mei-Ming</creator><creator>Xia, Kang</creator><creator>Zhang, Hong-Xin</creator><creator>Cao, Hong-Hui</creator><creator>Yang, Zhi-Jin</creator><creator>Cui, Hai-Feng</creator><creator>Gao, Shang</creator><creator>Tang, Kang-Lai</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0370-106X</orcidid></search><sort><creationdate>20170123</creationdate><title>Individual headless compression screws fixed with three-dimensional image processing technology improves fusion rates of isolated talonavicular arthrodesis</title><author>Xie, Mei-Ming ; Xia, Kang ; Zhang, Hong-Xin ; Cao, Hong-Hui ; Yang, Zhi-Jin ; Cui, Hai-Feng ; Gao, Shang ; Tang, Kang-Lai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-d7bd18ed5158e6379cacde7ebf8308ef3db4399ca39ef02349d0073f7bae4f853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthrodesis</topic><topic>Arthrodesis - adverse effects</topic><topic>Arthrodesis - instrumentation</topic><topic>Arthrodesis - methods</topic><topic>Arthrodesis - rehabilitation</topic><topic>Bone Screws</topic><topic>Compressive Strength</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Internal fixation</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Patient outcomes</topic><topic>Patient Satisfaction</topic><topic>Preoperative Care - methods</topic><topic>Talus - diagnostic imaging</topic><topic>Talus - surgery</topic><topic>Tarsal Bones - diagnostic imaging</topic><topic>Tarsal Bones - surgery</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xie, Mei-Ming</creatorcontrib><creatorcontrib>Xia, Kang</creatorcontrib><creatorcontrib>Zhang, Hong-Xin</creatorcontrib><creatorcontrib>Cao, Hong-Hui</creatorcontrib><creatorcontrib>Yang, Zhi-Jin</creatorcontrib><creatorcontrib>Cui, Hai-Feng</creatorcontrib><creatorcontrib>Gao, Shang</creatorcontrib><creatorcontrib>Tang, Kang-Lai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of orthopaedic surgery and research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xie, Mei-Ming</au><au>Xia, Kang</au><au>Zhang, Hong-Xin</au><au>Cao, Hong-Hui</au><au>Yang, Zhi-Jin</au><au>Cui, Hai-Feng</au><au>Gao, Shang</au><au>Tang, Kang-Lai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Individual headless compression screws fixed with three-dimensional image processing technology improves fusion rates of isolated talonavicular arthrodesis</atitle><jtitle>Journal of orthopaedic surgery and research</jtitle><addtitle>J Orthop Surg Res</addtitle><date>2017-01-23</date><risdate>2017</risdate><volume>12</volume><issue>1</issue><spage>17</spage><epage>17</epage><pages>17-17</pages><artnum>17</artnum><issn>1749-799X</issn><eissn>1749-799X</eissn><abstract>Screw fixation is a typical technique for isolated talonavicular arthrodesis (TNA), however, no consensus has been reached on how to select most suitable inserted position and direction. The study aimed to present a new fixation technique and to evaluate the clinical outcome of individual headless compression screws (HCSs) applied with three-dimensional (3D) image processing technology to isolated TNA.
From 2007 to 2014, 69 patients underwent isolated TNA by using double Acutrak HCSs. The preoperative three-dimensional (3D) insertion model of double HCSs was applied by Mimics, Catia, and SolidWorks reconstruction software. One HCS oriented antegradely from the edge of dorsal navicular tail where intersected interspace between the first and the second cuneiform into the talus body along the talus axis, and the other one paralleled the first screw oriented from the dorsal-medial navicular where intersected at the medial plane of the first cuneiform. The anteroposterior and lateral X-ray examinations certified that the double HCSs were placed along the longitudinal axis of the talus. Postoperative assessment included the American Orthopaedic Foot & Ankle Society hindfoot (AOFAS), the visual analogue scale (VAS) score, satisfaction score, imaging assessments, and complications.
At the mean 44-months follow-up, all patients exhibited good articular congruity and solid bone fusion at an average of 11.26 ± 0.85 weeks (range, 10 ~ 13 weeks) without screw loosening, shifting, or breakage. The overall fusion rates were 100%. The average AOFAS score increased from 46.62 ± 4.6 (range, 37 ~ 56) preoperatively to 74.77 ± 5.4 (range, 64-88) at the final follow-up (95% CI: -30.86 ~ -27.34; p < 0.001). The mean VAS score decreased from 7.01 ± 1.2 (range, 4 ~ 9) to 1.93 ± 1.3 (range, 0 ~ 4) (95% CI: 4.69 ~ 5.48; p < 0.001). One cases (1.45%) and three cases (4.35%) experienced wound infection and adjacent arthritis respectively. The postoperative satisfaction score including pain relief, activities of daily living, and return to recreational activities were good to excellent in 62 (89.9%) cases.
Individual 3D reconstruction of HCSs insertion model can be designed with three-dimensional image processing technology in TNA. The technology is safe, effective, and reliable to isolated TNA method with high bone fusion rates, low incidences of complications.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>28114949</pmid><doi>10.1186/s13018-017-0516-0</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0370-106X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings; PubMed Central Open Access; Springer Nature OA Free Journals |
| subjects | Activities of Daily Living Adult Aged Arthrodesis Arthrodesis - adverse effects Arthrodesis - instrumentation Arthrodesis - methods Arthrodesis - rehabilitation Bone Screws Compressive Strength Female Follow-Up Studies Health aspects Humans Imaging, Three-Dimensional - methods Internal fixation Male Methods Middle Aged Orthopedics Patient outcomes Patient Satisfaction Preoperative Care - methods Talus - diagnostic imaging Talus - surgery Tarsal Bones - diagnostic imaging Tarsal Bones - surgery Tomography, X-Ray Computed - methods Treatment Outcome |
| title | Individual headless compression screws fixed with three-dimensional image processing technology improves fusion rates of isolated talonavicular arthrodesis |
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