[Outcome of @entity29565 for the treatment of the painful XXXX in adults].

@entity1 @entity32 @entity2003 @entity158 @entity282 @entity29565
OBJECTIVE: To evaluate the clinical outcome of @entity29565 for treatment of the painful @entity29565 in adults. METHODS: From June 2006 to June 2012, a total of 38 feet (in 35 adult @entity1 ) with painful @entity29565 underwent an fusion operation of the primary and accessory navicular bones,including 26 males and 9 females with a mean age of (32.4  7.3) years old ranging from 18 to 44 years old. The course of disease ranged from 3 to 10 months. The perioperative complications and radiological outcomes were observed and recorded. The foot function before and after operation were assessed by the American Orthopedic Foot and Ankle Society (AOFAS) midfoot score, and the easement of the @entity158 was evaluated by visual analog score (VAS). RESULTS: Two @entity1 had transient superficial @entity32 of the incision, no obvious perioperative complications occurred. All @entity1 were follow-up for (53.5  14.7) months (12 to 84 months). Bone union was confirmed on plain radiography in 32 cases (35 feet). The mean time from the operation to union was (13.7  2.3) weeks (9 to 18 weeks). @entity282 VAS score was improved obviosly than preoperative (V=12.14,P< 0.01). The talar-to-first metatarsal angle [(9.4  3.5)   vs (8.3  2.7)  , t=0.736, P>0.05)], calcaneal tilt angle [(17.7  2.2)   vs (18.9  3.4)  , t=0.794, P>0.05],talonavicular uncoverage angle [(14.3  3.4)   vs(12.5?4.6)  ,t=0.947, P>0.05) ],and height of the first tarsometatarsal joint [(14.8  3.1) mm vs (15.9  2.8) mm,t=0.814,P>0.05)] before and after operations had no statistic difference. The AOFAS midfoot score was improced from preoperative 45.6  5.3 to postoperative 82.5  7.4 (t=3.214,P< 0.01). CONCLUSION: For the painful @entity29565 in adults, if the @entity1 has a large navicular bone and not complicated with @entity2003 , once the conservative treatment fails, fusion of the primary and accessory naviculars may be a successful intervention. Overall, the procedure provides reliable @entity158 relief, definite foot function improvement, and good @entity1 satisfaction.
