The Incidence of Nonunion of the Naviculocuneiform Joint Arthrodesis:A Systematic Review.
Publication/Presentation Date
5-1-2019
Abstract
Naviculocuneiform (NC) joint arthrodesis is an effective procedure to treat pain and provide stability to the medial column. Various forms of fixation have been described for NC arthrodesis. Despite this, the available literature is scant and questions remain regarding nonunion rate and contributory factors. A systematic review of the literature was undertaken to determine the rate of nonunion for NC joint arthrodesis. Seven studies involving 139 NC joint arthrodeses met inclusion criteria. The nonunion rate was 6.5% at a weighted mean follow-up of 73.2 months. There is insufficient evidence to provide a practice guideline based on the current literature. Adequately powered prospective clinical trials comparing well-matched patient groups with long-term follow-up are required to limit systematic error and enhance external validity. Specific outcomes measures should include union, functional assessment, complications, and cost-benefit analysis.
Volume
58
Issue
3
First Page
545
Last Page
549
ISSN
1542-2224
Published In/Presented At
Chu, A. K., Wilson, M. D., Lee, J., So, E., Prissel, M. A., & Hyer, C. F. (2019). The Incidence of Nonunion of the Naviculocuneiform Joint Arthrodesis:A Systematic Review. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons, 58(3), 545–549. https://doi.org/10.1053/j.jfas.2018.09.014
Disciplines
Medicine and Health Sciences
PubMedID
30876812
Department(s)
Department of Surgery, Fellows and Residents
Document Type
Article