Tratamento da Doença de Müller-Weiss com tríplice artrodese modelante
Keywords:
Müller-Weiss disease, Surgical treatment, Triple modeling arthrodesisAbstract
Mueller-Weiss disease (or avascular necrosis of the navicular) causes complex biomechanical changes in the feet, and their prevalence and incidence are unknown. Clinical features are: pain with insidious onset in the middle-foot, more frequent in women between 5 and 6 decades, unilateral, and associated with clinical and radiographic deformity in the navicular bone. Conservative treatment includes changes in lifestyle (such as weight loss, and changes in the shoe wear). In cases not responsive to clinical treatment, surgical treatment is a viable option. Modeling triplice arthrodesis is one of the surgical options for the most severe cases with the objective of: improvement of pain, and correction of deformity with recovery of windfoot alignment. The objective of this article is to demonstrate the surgical technique of modeling triple arthrodesis and its functional results.
Downloads
References
Mayich DJ. The treatment of Muller-Weiss disease: a systematic approach. Tech Foot Ankle. 2016;15:59-73.
Patel A, Rao S, Nawoczenski D, Flemister AS, DiGiovanni B, Baumhauer JF. Midfoot arthritis. J Am Acad Orthop Surg. 2010; 18(7):417-25.
Maceira E, Rochera R. Müller-Weiss disease: clinical and biomechanical features. Foot Ankle Clin 2004;9(1):105-25.
Tosun B, Al F, Tosun A. Spontaneous osteonecrosis of the tarsal navicular in an adult: Mueller-Weiss syndrome. J Foot Ankle Surg. 2011;50(2):221-4.
Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, mid-foot, hallux and lesser toes. Foot Ankle Int. 1994;15(7):349-53.
Mohiuddin T, Jennison T, Damany D. Müller-Weiss disease - review of current knowledge. Foot Ankle Surg. 2014;20(2):79-84.
Fernández de Retana P, Maceira E, Fernández-Valencia JA, Suso S. Arthrodesis of the talonavicular-cuneiform joints in Müller-Weiss disease. Foot Ankle Clin. 2004;9(1):65-72.
Lui TH. Arthroscopic triple arthrodesis in patients with Muller-Weiss disease. Foot Ankle Surg. 2009;15(3):119-22.
Cao HH, Tang KL, Xu JZ. Peri-navicular arthrodesis for the stage III Muller- Weiss disease. Foot Ankle Int. 2012;33(6):475-8.
Zhang H, Li J, Qiao Y, Yu J, Cheng Y, Liu Y, Gao C and Li J. Open triple fusion versus TNC arthrodesis in the treatment of Mueller- Weiss disease. J Orthop Surg Res. 2017;12(1):13.
Fernández de Retana P, Maceira E, Fernández-Valencia JA, Suso S. Arthrodesis of the talonavicular-cuneiform joints in Muller- Weiss disease. Foot Ankle Clin. 2004;9(1):65-72.
