medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2021, Number 1

<< Back Next >>

An Med Asoc Med Hosp ABC 2021; 66 (1)

Early support in ankle arthrodesis by minimum incisions. Experience in the National Institute of Rehabilitation

Parra TP, Morales SM, López GE, Cortez GR

Language: Spanish
References: 17
Page: 6-12
PDF size: 357.20 Kb.


ABSTRACT

Introduction: Tibiotalocalcaneal arthrodesis is used to eliminate pain and instability in severe osteoarthritis. The use of centromedullary nails has become more popular than other forms of fixation, due to the stability they achieve; they are capable of generating compression and increased fusion rates. Objective: Implement early support in post-operated patients with ankle arthrodesis with a centromedullary nail and assess its impact on consolidation an quality of life. Material and methods: They were carried out at the "Luis Guillermo Ibarra Ibarra" National Rehabilitation Institute. 34 ankle arthrodesis with an anterior approach with minimal incisions in 33 patients from the Neuromuscular Deformities, Foot and Ankle Surgery service, in the period from January 2014 to December 2018. The type of study was a follow-up of a series of cases before and after intervention. Results: Of the 34 arthrodeses performed, in 33 patients; 20 in the right ankle, corresponding to 58.8% and 14 in the left ankle, representing 41.1% being bilateral in one patient. Conclusion: In the clinical assessment, the preoperative and postoperative AOFAS scale, favorable results were obtained after ankle arthrodesis, which is why it is shown that when performing this procedure, pain, ankle hindfoot alignment and rearfoot are improved. Gait function without limitations, demonstrating with the clinical assessment, improvement in function, due to the shorter disability time.


REFERENCES

  1. Rammelt S, Pyrc J, Agren PH, Hartsock LA, Cronier P, Friscia DA et al. Tibiotalocalcaneal fusion using the hindfoot arthrodesis nail: a multicenter study. Foot Ankle Int. 2013; 34 (9): 1245-1255.

  2. Tejero GS, Carranza BA, Fernández TJ, Del Castillo BG, Alegrete PA, Reyes FJ et al. Artrodesis tibiotalocalcánea con clavo retrógrado mediante cirugía de mínima incisión. Revista del Pie y Tobillo. 2012; 26: 14-18.

  3. Fang Z, Claaben L, Windhagen H, Daniilidis K, Stukenborg-Colsman C, Waizy . Tibiotalocalcaneal arthrodesis using a retrograde intramedullary nail with a valgus. Orthop Surg. 2015; 7 (2): 125-131.

  4. Grass R. Tibiotalocalcaneal arthrodesis using a distally introduced femur nail (DFN). Oper Orthop Traumatol. 2005; 17 (4-5): 426-441.

  5. Flückiger G, Weber M. Abordaje transfibular para artrodesis de tobillo. Tec Quir Orthop Traumatol. 2005; 17: 361-379.

  6. Zabalaga F. Artrodesis de tobillo. Rev Bol Ortoped Traumatol. 2007; 17 (1): 28-35.

  7. Zaourak J, Paz A, Chahla J, Arroquy D, Vago AF, Loncharich E. Artrodesis tibiotalocalcánea con clavo retrógrado de reconstrucción. Tobillo y Pie. 2016; 8 (2): 99-104.

  8. Prados ON, Galadí FM, Plais CN, Pérez RD, Álvarez OR, Tercedor SJ. Artrodesis de tobillo: resultados comparativos de diferentes técnicas. Rev S And Traum y Ort. 2012; 29 (2/2): 9-15.

  9. Parra T, López G, Vázquez E. Artrodesis tibio-astrágalo-calcánea con clavo de revisión. Experiencia y resultados. Rev Pie Tobillo. 2004; 18 (2): 136-139.

  10. Herrera-Pérez M, Pais-Brito JL, De Bergua-Domingo J, Aciego de Mendoza M, Guerra-Ferraza A, Cortés-García P et al. Resultados de la artrodiastasis en la artropatía postraumática de tobillo en población joven. Rev Esp Cir Ortop Traumatol. 2013; 57 (6): 409-416.

  11. Asunción MJ, Ocampo BJ, Bacca IG, Poggio CD. Abordaje posterior de tobillo para la artrodesis tibioastragalocalcánea con clavo intramedular retrógrado: modificación de la técnica quirúrgica. Rev Colombiana Orto Traua. 2013; 27 (2): 118-124.

  12. Brodsky J, Verschae G, Tenenbaum S. Surgical correction of severe deformity of the ankle and hindfoot by arthrodesis using a compressing retrograde intramedullary nail. Foot Ankle Int. 2014; 35 (4): 360-367.

  13. Mückley T, Hofmann G, Buhren V. Tibiotalar arthrodesis with the tibial compression nail. Operative Orthopadie und Traumatologie. 2005; 17 (4-5): 407-425.

  14. Mückley T, Hofmann G, Bühren V. Tibiotalar arthrodesis with the tibial compression nail. Eur J Trauma Emerg Surg. 2007; 33 (2): 202-213.

  15. Franceschi F, Franceschetti E, Torre G, Papalia R, Samuelsson K, Karlsson J et al. Tibiotalocalcaneal arthrodesis using an intramedullary nail: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2016; 24 (4): 1316-1325.

  16. Hintermann B, Ruiz R. Artrosis de tobillo y su tratamiento con Artroplastia total de tobillo. Rev Med Clin Condes. 2014; 25 (5): 825-837.

  17. Ahmad J, Steven M, Ankle R. Arthrodesis: the simple and the complex. Foot Ankle Clin. 2008; 13 (3): 381-400, viii.



EVIDENCE LEVEL

IV




2020     |     www.medigraphic.com