Thalo Navicular Arthrodesis Of Steinhaeuser In Senegal

摘要

Introduction An isolated arthrodesis from the line space of Chopart results from experimental study carried out by Steinhaeuser and its implementation/practice as described in the book he wrote in 1978. It has proven the significance of the line space of Chopart in the restoration from foot malformations/deformities. When Chellius (1), repeated the cadaveric experimentation of Steinhaeuser, he could draw the conclusion that blockade of talo navicular articulation /joint is sufficient to lock the back of the foot /back foot, and that calcaneo cuboidian blockade does not have any additional effect. These conclusions are confirmed by a clinical study carried out by . (ASENCIO and all.?) (2)Chopart arthrodesis has two major indications in Africa:In Africa the arthrodèse/artthrodesis of Chopart finds two principal indications: the painful post-traumatic foot and the distorted poliomyelitic paralytic foot. Material From 1997 through 2003, 55 navicular tolo arthrodesis also called Chopart arthrodesis were performed. The age range of patients is 16 to 40 years and the average, 18 years. At total of 40 males and 15 female patients underwent the procedure. Characteristics of two categories of patients:35 post traumatic arthrodesis;20 neurological feet Only the talo navicular arthrodesis is performed in case of traumatic lesions while athrodesis of all the line space of Chopart is performed in case of neurological feet, in/within/on the sequelae of former acute poliomyelitic. Method The technique is simple and is performed under a loco-regional anaesthesia with rachis anaesthesia in case of adhering iliac graft or with a poplite bloc, pneumatic garrotes on the calf. A dorso-median longitudinal incision in made between the anterior tibial tendon and extensors. A second latero-longitudinal incision is necessary for the calcaneo cuboidienne arthrodesis