Evidence map›Paper›PMID 42445637›Full record

ArticleCureus2026

Clinical and Radiographic Outcomes of Nitinol Compression Staple Fixation for Midfoot and Chopart Arthrodeses: A Single-Centre Case Series.

Laraib Zafar, Zain Habib, Ishak Rouf, Ayesha Malik, Oliver Bagshaw, Gary M Hannant

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Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Laraib ZafarTrauma and Orthopaedics, Bradford Royal Infirmary, Bradford, GBR.
Zain HabibTrauma and Orthopaedics, Manchester University NHS Foundation Trust, Manchester, GBR.
Ishak RoufTrauma and Orthopaedics, Bradford Royal Infirmary, Bradford, GBR.
Ayesha MalikEmergency Medicine, Manchester Royal Infirmary, Manchester, GBR.
Oliver BagshawTrauma and Orthopaedics, Bradford Royal Infirmary, Bradford, GBR.
Gary M HannantTrauma and Orthopaedics, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNitinol continuous compression staples are increasingly used for foot and ankle arthrodesis; however, real-world outcome data describing construct strategies, regional variation in union, and failure patterns remain limited, particularly for Chopart joints.

methodsA retrospective case series of consecutive adult patients undergoing midfoot or Chopart arthrodesis using nitinol compression staples as the principal fixation method was performed. Arthrodeses were classified as midfoot (tarsometatarsal and/or naviculocuneiform) or Chopart (talonavicular and/or calcaneocuboid). Fixation constructs were categorised as staple-only or hybrid (staples combined with screws and/or plates). Radiographic union was defined as ≥50% trabecular bridging on two orthogonal radiographs or confirmation on computed tomography. The primary outcome was union rate; secondary outcomes included time to union, complications, reoperation, construct configuration, and failure patterns.

resultsTwenty-five arthrodeses were included (15 midfoot and 10 Chopart). Overall union was achieved in 22 of 25 procedures (88%). Union rates were higher in the midfoot cohort (14/15, 93.3%) than in the Chopart cohort (8/10, 80%). Median time to union among united procedures was 62 days (interquartile range: 47-80). Three non-unions (12%) and three complications (12%) occurred, with two procedures requiring further surgery. Staple-only constructs accounted for 20 procedures, with five hybrid constructs (four Chopart and one midfoot). One case of staple fatigue failure occurred at the bridge-leg interface.

conclusionNitinol compression staples provided reliable fixation for midfoot arthrodesis and acceptable outcomes in selected Chopart arthrodesis. Region-specific differences in union and failure patterns highlight the importance of construct planning and selective adjunct fixation for higher-risk Chopart constructs.

Indexed as

chopart arthrodesisfoot and ankle surgeryinternal fixationmidfoot arthrodesisnitinol compression staples

Identifiers

PMID42445637
PMCPMC13360566

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.