PlumX Metrics
Embed PlumX Metrics

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
  • 18
    Citations
  • 0
    Usage
  • 52
    Captures
  • 0
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

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

Ettinger, Sarah; Stukenborg-Colsman, Christina; Plaass, Christian; Yao, Daiwei; Claassen, Leif; Berger, Stefan; Waizy, Hazibullah; Becher, Christoph Maria; Daniilidis, Kiriakos

Springer Science and Business Media LLC

Medicine

Provide Feedback

Have ideas for a new metric? Would you like to see something else here?Let us know