Tibiotalocalcaneal arthrodesis with retrograde
               intramedullary nailing: 29 patients' clinical and functional evaluation<sup>,</sup>

Caixeta, Thiago Barbosa; Calábria Júnior, Márcio Oliveira; Castro, Régis Vieira de; Martins, Jefferson Soares; Costa, Edegmar Nunes; Albieri, Alexandre Daher; Moraes, Frederico Barra de

doi:10.1016/j.rbo.2013.11.002

Brasil

home Sumário navigate_before Anterior Atual Seguinte navigate_next

home Sumário

• Rev. bras. ortop. 49 (1) • Jan-Feb 2014 • https://doi.org/10.1016/j.rboe.2013.12.017 linkcopy

Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients' clinical and functional evaluation^☆^,^☆☆

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: To evaluate clinically and functionally the pos-operative results of patients submitted to tibiotalocalcaneal arthrodesis for the treatment of traumatic arthropathy and neuropathy.

Methods: Retrospective study of 29 patients undergoing ankle arthrodesis with intramedullary retrograde nail. All patients were evaluated for fusion time, AOFAS and VAS scores, satisfaction, and complications of surgery. The mean follow-up was 36 months (range 6-60 months).

Results: The union rate was 82%, and the consolidation occurred on average at 16 weeks (10-24 weeks). The pos-operative AOFAS score improved in 65.5% (average of 57.7 on neurological cases and 75.7 on cases pos-traumatic) and VAS score improved 94.1% (average of 2.3 on neurological cases and 4,2 on post-traumatic cases), and 86% of patients were satisfied with the procedure performed. Complications occurred in 11 patients (38%), including pseudoarthrosis (17.24%), infection (17.24%), material failure (13.8%) and fracture (13.8%).

Conclusion: Tibiotalocalcaneal arthrodesis with retrograde intramedullary nail proved to be a good option for saving the ankle joint, with improvement of clinical and functional scores (AOFAS = 65.5% and VAS = 94.1%).

Osteoarthritis; Arthrodesis; Ankle; Fracture fixation; Intramedullary

AOFAS	Preoperative	Post-operative
Poor	29	10	34.5%
Fair	0	6	20.5	65.5%
Good	0	10	34.5%
Excellent	0	3	10.5

VAS	Preoperative	Post-operative
Mild	0	14	48.3%	94.1%
Moderate	0	13	44.8%
Severe	29	2	5.9%

Study	Pat. Nr.	Age	Follow-up (months)	Union rate	Time for consolidation (weeks)	AOFAS	VAS	Satisfaction
Chou et al.¹⁷	37	53 (19-79)	26 (12-168)	86%	19 (12-65)	66	-	87%
Hammett et al.¹³	47	57.1 (25-81)	34 (8-37)	87%	17 (13-39)	63 (13-84)	-	82%
Pelton et al.⁶	33	54 (32-88)	14	88%	16	-	-	-
Boer et al.²	50	57.6 (22-82)	51 (12-84)	96%	20.4 (12-72)	70 (32-86)	-	92%
Niinimaki et al.¹⁵	34	57 (25-77)	24(6-43)	76%	16 (6-45)	-	1.9	90%
Smith et al.¹⁶	10	60.6 (48-78)	14.7 (12-18)	80%	-	69 (14-51)	2 (0-7)	-
Mendicino et al.¹²	19	56 (33-81)	19.8 (8-42)	95%	17	-	-	-
This study	29	41 (13-72)	36 (6-60)	82%	16 (10-24)	69 (16-96)	3.5 (0-6)	86%

vertical_align_top file_download show_chart

more_horizclose
- image
- translate
- link
- article
- vertical_align_top
- file_download
- show_chart
- image
- translate
- link
- article

location_on

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

rss_feed Acompanhe os números deste periódico no seu leitor de RSS

Acessibilidade / Reportar erro

[TFN01t05] VAS, Visual Analog Scale.

Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients' clinical and functional evaluation☆,☆☆

Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients' clinical and functional evaluation^☆^,^☆☆