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Arthrodesis of the talonavicular-cuneiform joints in Müller-Weiss disease
P Fernández de Retana1, E Maceira, J A Fernández-Valencia
1Foot Unit, Department of Orthopaedic and Trauma Surgery, Institut Clínic de l'Aparell Locomotor, Hospital Clínic, University of Barcelona, C/ Villarroel, 170 Barcelona, Spain. pfernan@clinic.ub.es
Abstract:
Several surgical treatments have been proposed to correct the deformity associated with MWD and alleviate the pain; however, no technique can be named the gold standard. TNC arthrodesis is a safe and effective technique for the treatment of the MWD and can be performed with a dorsal or medial approach;we recommend the dorsal approach. We believe that autologous bone graft provides sufficient stability and internal fixation is not needed. Treatment of MWD is not well-documented in literature; more studies are needed to determine the optimum surgical treatment for this rare disease.
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