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Post-interventional Outcomes in the Management of Adult Calcaneonavicular Coalitions: A Systematic Review

Calcaneonavicular coalitions in adults can be managed conservatively or through operative means involving resection or arthrodesis of the joints. The aim of this systematic review was to compare complication rates and functional outcomes for the different interventions. PubMed, MEDLINE, Embase, and...

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Autores principales: Duffaydar, Hamza, Elmajee, Mohammed, Dermanis, Alexander A, Hussain, Shakir, Pillai, Anand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9642963/
https://www.ncbi.nlm.nih.gov/pubmed/36382326
http://dx.doi.org/10.7759/cureus.31253
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author Duffaydar, Hamza
Elmajee, Mohammed
Dermanis, Alexander A
Hussain, Shakir
Pillai, Anand
author_facet Duffaydar, Hamza
Elmajee, Mohammed
Dermanis, Alexander A
Hussain, Shakir
Pillai, Anand
author_sort Duffaydar, Hamza
collection PubMed
description Calcaneonavicular coalitions in adults can be managed conservatively or through operative means involving resection or arthrodesis of the joints. The aim of this systematic review was to compare complication rates and functional outcomes for the different interventions. PubMed, MEDLINE, Embase, and the Cochrane Library were searched for relevant studies that reported outcomes for the management of calcaneonavicular coalitions in adults. Twenty-three studies met the inclusion criteria, comprising 118 coalitions. Forty-one coalitions were managed conservatively and 71 through operative means of which, 62 included a resection and nine had an arthrodesis performed. Patients who were operated upon had a significantly higher complication rate of 23.4% compared to 10.6% for those who were managed conservatively (p=0.048). There was no significant difference in complication rates among those who had a resection or an arthrodesis. All studies demonstrated an improvement in functional outcomes regardless of intervention used. Conservative management of calcaneonavicular coalitions in adults should continue to be advocated as first-line treatment given the lower complication rates compared to operative means.
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spelling pubmed-96429632022-11-14 Post-interventional Outcomes in the Management of Adult Calcaneonavicular Coalitions: A Systematic Review Duffaydar, Hamza Elmajee, Mohammed Dermanis, Alexander A Hussain, Shakir Pillai, Anand Cureus Orthopedics Calcaneonavicular coalitions in adults can be managed conservatively or through operative means involving resection or arthrodesis of the joints. The aim of this systematic review was to compare complication rates and functional outcomes for the different interventions. PubMed, MEDLINE, Embase, and the Cochrane Library were searched for relevant studies that reported outcomes for the management of calcaneonavicular coalitions in adults. Twenty-three studies met the inclusion criteria, comprising 118 coalitions. Forty-one coalitions were managed conservatively and 71 through operative means of which, 62 included a resection and nine had an arthrodesis performed. Patients who were operated upon had a significantly higher complication rate of 23.4% compared to 10.6% for those who were managed conservatively (p=0.048). There was no significant difference in complication rates among those who had a resection or an arthrodesis. All studies demonstrated an improvement in functional outcomes regardless of intervention used. Conservative management of calcaneonavicular coalitions in adults should continue to be advocated as first-line treatment given the lower complication rates compared to operative means. Cureus 2022-11-08 /pmc/articles/PMC9642963/ /pubmed/36382326 http://dx.doi.org/10.7759/cureus.31253 Text en Copyright © 2022, Duffaydar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Duffaydar, Hamza
Elmajee, Mohammed
Dermanis, Alexander A
Hussain, Shakir
Pillai, Anand
Post-interventional Outcomes in the Management of Adult Calcaneonavicular Coalitions: A Systematic Review
title Post-interventional Outcomes in the Management of Adult Calcaneonavicular Coalitions: A Systematic Review
title_full Post-interventional Outcomes in the Management of Adult Calcaneonavicular Coalitions: A Systematic Review
title_fullStr Post-interventional Outcomes in the Management of Adult Calcaneonavicular Coalitions: A Systematic Review
title_full_unstemmed Post-interventional Outcomes in the Management of Adult Calcaneonavicular Coalitions: A Systematic Review
title_short Post-interventional Outcomes in the Management of Adult Calcaneonavicular Coalitions: A Systematic Review
title_sort post-interventional outcomes in the management of adult calcaneonavicular coalitions: a systematic review
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9642963/
https://www.ncbi.nlm.nih.gov/pubmed/36382326
http://dx.doi.org/10.7759/cureus.31253
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