Esta caracteristica tambien explica su tendencia a torcerse 3. Arthroscopic ankle and subtalar arthrodesis induces less trauma to the soft tisues and this translates in a lower complication rate, a shorter hospital stay, an early mobilization and a higher success rate. Dec 20, 2005 the results of open ankle arthrodesis in 23 patients with primary and secondary ankletalar arthritis are presented. If nonsurgical treatment of cortisone injections and permanent brace wear does not relieve the symptoms, a fusion of the talus and calcaneus is recommended.
We report our experience on 20 cases of tibiotalar arthrodesis performed over the last 8 years in our hospital. Fresh bipolar osteochondral allograft of the ankle. Functional outcomes after ankle arthrodesis in elderly. The repair of hallux valgus deformity in older patients may pose a more difficult. In cases of poor outcome and at the persistence of pain will be indicated salvage procedures including osteotomies and. Butto, dpm, aacfasd subtalar joint arthrodesis is a procedure used in posttraumatic arthritis, osteoarthritis. This is commonly performed to help improve pain and function due to arthritis, as well as due to deformity.
Reconstruccion del tobillo neuroartropatico mediante artrodesis con. A comparison of an arthroscopic and an open method of treatment. The paper describes the rationale for use of joint fusion as a primary option for hallux valgus. Lind, md subtalar arthrodesis postoperative protocol phase i maximum protection weeks 0 to 6 l cast or boot for 6 weeks l elevate the ankle above the heart l nonweight.
We conclude that ankle arthrodesis is a good therapeutic option for pain or deformity of the ankle not hobillo to conservative treatment, with good long term results. Arthrodesis of the tibiotalar joint alone using compression screws was generally possible in osteoarthritis because the destruction of the body of the talus was. All these factors have made arthroscopic surgery, our first choice technique for ankle and subtalar arthrodesis. Subtalar arthrodesis is the fusion of the subtalar joint, between the talus and calcaneus. Arthroscopic ankle and subtalar arthrodesis indications and. Arthrodesis is the fusion of a joint but causing 2 bones to heal together. Subtalar arthrodesis postoperative guidelines initial surgical dressing a gauze dressing will be covered by a very padded cast. This cast is too wide to accommodate a rubber walking boot. In cases of poor outcome and at the persistence of pain will be indicated salvage procedures including osteotomies and arthrodesis. After simulated arthrodesis of the subtalar joint, a mean of 26 per cent of the motion of the talonavicular joint, 56 per cent of the motion of the calcaneocuboid joint, and 46 per cent of the. The ankle fusion set includes anterior and lateral tt fusion plates along with posterior and lateral ttc fusion plates that allow a variety of screw options, including 4. All patients were treated with open ankle arthrodesis using. Pdf tibiotalocalcaneal arthrodesis in treatment of hindfoot pain. Ankle arthrodesis using a tibiocalcaneal external fixator.
All patients were treated with open ankle arthrodesis using the citieffechn external fixator with pins inserted in the tibia and the calcaneus. Jul 27, 2019 ankle fusion for definitive management of nonreconstructable pilon fractures. Artroplastia vs artrodesis tobillo by maria lopez fernandez on prezi. Over doctors use vumedi to improve patient care and grow their practice. Butto, dpm, aacfasd subtalar joint arthrodesis is a. The value of radiography in the followup of extremity fractures. In 1951, the technique of compression arthrodesis of the ankle was first introduced. Ankle fusion for definitive management of nonreconstructable pilon fractures. When the subtalar joint is fused, the side to side motion of the foot is lost. Another recent study demonstrated that double arthrodesis. Pdf artrodesis tibioastragalina artroscopica researchgate.
The arthrex ankle fusion plating system provides a complete solution for ankle fixation with a comprehensive offering of anatomyspecific titanium plates for both tibiotalar and tibiotalocalcaneal arthrodeses. Arthrodesis can be achieved with adequate resection of cartilage, good compression across the fusion site, stable fixation, proper postoperative protocol, and patient compliance. The ankle arthrodesis is an effective technique for the surgical treatment of a number of alterations. The ankle arthrodesis is an effective technique for the surgical treatment of a number of alterations and diseases of the ankle joint. Subtalar arthrodesis a subtalar fusion is performed for chronic tendon ruptures, calcaneus or talus fractures among many other causes of hindfoot arthritis. Use of 1st metatarsophalangeal joint fusion for repair of geriatric. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing. Subtalar joint arthrodesis for elective and posttraumatic.
Arthroscopic ankle and subtalar arthrodesis indications. Arthroscopic ankle and subtalar arthrodesis induces less trauma to the soft tisues and this translates in a lower complication rate, a shorter hospital stay, an early mobilization and a. We report a retrospective, objective longterm study. Patients who have significant ankle deformity associated with their ankle arthritis may not be appropriate for the arthroscopic technique and may best be treated with an open technique. Pdf ankle joint arthrodesis should be considered the gold standard procedure for endstage ankle arthritis in the appropriate patient. Functional outcomes after ankle arthrodesis in elderly patients. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. They did not receive payments or other benefits or a commitment or agreement to provide such benefits. Fractura del tobillo con subluxacion externa o posteroexterna. Ankle arthrodesis for failed total ankle replacement the bone.
We conclude that ankle adtrodesis is a good therapeutic option for pain or deformity of the ankle not responding to conservative treatment, with good long term results. Union rate was 91% 21 patients at an average of weeks range, 1216 weeks. The mean age at the time of surgery was fiftyfour years, and the mean interval between surgery and assessment was fortyfour months. Caution is used to avoid sliding when the cast is resting on a hard floor surface. Outcomes after standardized screw fixation technique of ankle artrodesis. In the delayed setting careful debridement of the chopart space is essential.
The indications for arthroscopic ankle arthrodesis are for treatment of end stage ankle arthritis in those patients who have failed non operative treatments. Caso clinicoreconstruction of neuropathic ankle with arthrodesis and interposition of femoral head allograft. Subtalar arthrodesis can be fixated with arthrex 7. Motion of the hindfoot after simulated arthrodesis. The results of open ankle arthrodesis in 23 patients with primary and secondary ankletalar arthritis are presented. Tibiotalar fusion is considered to be the standard treatment for endstage posttraumatic arthritis of the ankle. Subtalar joint arthrodesis for elective and posttraumatic foot and ankle deformities lawrence a. Lind, md subtalar arthrodesis postoperative protocol phase i maximum protection weeks 0 to 6 l cast or boot for 6 weeks l elevate the ankle above the heart l nonweight bearing x 6 weeks l multiplane hip strengthening l core and upper extremity strengthening. Subtalar arthrodesis surgery foot surgeon minneapolis mn. Quality of life 20 years after arthrodesis of the ankle the bone. Download acrobat pdf file 22kb informacion adicional 1. Tibiotarsal compression arthrodesis using a lateral locking plate.