Tibiocalcaneal arthrodesis as a limb salvage procedure for complex hindfoot deformities
Archives of Orthopaedic and Trauma Surgery, ISSN: 1434-3916, Vol: 136, Issue: 4, Page: 457-462
2016
- 18Citations
- 52Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations18
- Citation Indexes18
- 18
- CrossRef3
- Captures52
- Readers52
- 52
Article Description
Introduction: Tibiocalcaneal (TC) arthrodesis is a limb salvage method for patients with severe deformities combined with necrosis and/or luxation of the talus. The aim of this study was to examine the clinical and radiological outcome of TC arthrodesis. Materials and methods: This retrospective study identified 12 patients with luxation and/or necrosis of the talus, due to charcot neuroarthropathy (83.3 %) or traumatic injuries (16.7 %). All patients underwent TC arthrodesis by an external fixator or nail arthrodesis. The mean follow up was 18 (6–36) months with a mean age of 51.3 (30–66) years. The data were collected using the AOFAS score as well as clinical and radiological examination during regular follow up. Results: Seven (58.3 %) patients were treated with an external fixator, four (33.3 %) with nail arthrodesis and one (8.3 %) patient rejected both fixation methods. Four (100 %) patients achieved radiological and clinical bone union after nail arthrodesis and four (57.1 %) patients after external fixation. Three (42.9 %) patients treated by an external fixator showed a radiological moderate bone fusion, but a stable, asymptomatic non-union. One (8.3 %) case ended up in transfemoral amputation. Eleven patients (91.7 %) regained independent mobilization. The mean AOFAS score improved from 24.3 preoperatively to 66.7 postoperatively (p < 0.05). The postoperative satisfaction rate was good to excellent in 83.3 %. Conclusion: TC arthrodesis is a promising and effective method for the treatment of severe ankle deformities with talus luxation. It allows patient’s return to mobility with good to excellent patient satisfaction.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84958749486&origin=inward; http://dx.doi.org/10.1007/s00402-016-2420-1; http://www.ncbi.nlm.nih.gov/pubmed/26887665; http://link.springer.com/10.1007/s00402-016-2420-1; https://dx.doi.org/10.1007/s00402-016-2420-1; https://link.springer.com/article/10.1007/s00402-016-2420-1
Springer Science and Business Media LLC
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