Individual Surgical Treatment of Stage IV Müller-Weiss Disease According to CT/MRI Examination: A Retrospective Study of 12 Cases

Frontiers in Surgery

article

Wenzhou Liu¹  Yanbo Chen¹  Gang Zeng¹  Tao Yang²  Mengjun Ma³  Weidong Song¹ 

[1] Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University;Department of Emergency, Sun Yat-sen Memorial Hospital, Sun Yat-sen University;Department of Orthopedics, The Eight Affiliated Hospital, Sun Yat-sen University

关键词: Müller-Weiss disease;    CT/MRI;    clinical outcomes;    stage IV;    surgery;   

DOI  :  10.3389/fsurg.2022.694597

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background This study reported the individual surgical treatment of 12 cases with stage IV Müller-Weiss disease (MWD) according to CT/MRI examination. Methods In total, 12 cases diagnosed with stage IV MWD in our hospital from 2015 to 2019 were included in the retrospective study. Relevant clinical outcomes were evaluated preoperatively and postoperatively. Results The follow-up results showed satisfactory outcomes in all cases. All the cases were presented with tenderness and chronic pain on the midfoot dorsum, and three cases were also presented with tenderness and pain on the lateral side of the midfoot, in which calcaneal cuboid arthritis was revealed by CT/MRI. The American Orthopedic Foot and Ankle Society (AOFAS) scores elevated from 62.5 ± 6.8 (range: 53–74) preoperatively to 95.3 ± 7.2 (range: 73–100) postoperatively ( P < 0.005). The Visual Analog Scale (VAS) scores declined from 4.2 ± 0.9 (range: 3–5.5) preoperatively to 0.5 ± 0.3 (range: 0–2) postoperatively ( P < 0.001). On the weight-bearing lateral view of the foot, the Tomeno-Méary angle (TM lat) changed from −11.2 ± 4.2 (range: −17.2 to −2.8) degrees preoperatively to −2.4 ± 3.9 (range: −10.2 to 5.2) degrees postoperatively ( P < 0.001). Conclusions The fusion of the talus-navicular joint and the adjacent affected joint provide good clinical outcomes. The CT/MRI scans are helpful to identify the adjacent joint arthritis and provide indications for individual treatment for Stage IV MWD.

【 授权许可】

CC BY