The late reconstruction of a complex nonunion of the distal tibial metaphysis, the ankle, or the subtalar joint was undertaken in five patients through a posterior surgical approach and. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing. Butto, dpm, aacfasd subtalar joint arthrodesis is a procedure used in posttraumatic arthritis, osteoarthritis. Tibiotalar salvage procedures for failed ankle arthrodesis. The ankle arthrodesis is an effective technique for the surgical treatment of a number of alterations and diseases of the ankle joint. The surgical goal of ankle arthrodesis is to obtain bony union between the tibia and talus with adequate alignment slight valgus 05, neutral dorsiflexion, and slight external rotation positions in order to provide a painfree plantigrade foot for weightbearing activities. The patient should be carefully evaluated and any factors contributing to the nonunion should be. Different procedures have been tried for revision arthrodesis.
Subtalar arthrodesis a subtalar fusion is performed for chronic tendon ruptures, calcaneus or talus fractures among many other causes of hindfoot arthritis. Subtalar arthrodesis is the fusion of the subtalar joint, between the talus and calcaneus. 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. This is commonly performed to help improve pain and function due to arthritis, as well as due to deformity. Ankle arthrodesis, commonly known as ankle fusion surgery, is a reconstructive surgical procedure where the bones of a damaged ankle joint are fused into one single bone. We report our experience on 20 cases of tibiotalar arthrodesis performed over the last 8 years in our hospital. A symptomatic nonunion of an ankle fusion can be managed with revision arthrodesis fig. 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 phase ii range of motion and early strengthening weeks 6 to 12. The indications for arthroscopic ankle arthrodesis are for treatment of end stage ankle arthritis in those patients who have failed non operative treatments. Revision arthrodesis of the ankle pubmed central pmc. 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.
Pdf artrodesis tibioastragalina artroscopica researchgate. When the subtalar joint is fused, the side to side motion of the foot is lost. Pseudoarthrosis occurs in 040% of all ankle fusions saltzman 2008. If nonsurgical treatment of cortisone injections and permanent brace wear does not relieve the symptoms, a fusion of. Subtalar arthrodesis print quality instant download. Deltoideo, complejo ligamentario lateral y sindesmosis.
Subtalar arthrodesis surgery is performed due to traumatic subtalar arthritis. Most series have been small, like ours, and the results have been similar. Subtalar arthrodesis can be fixated with arthrex 7. Arthrodesis is the fusion of a joint but causing 2 bones to heal together. Ankle arthrodesis is a common treatment used for patients with endstage ankle arthritis esaa. A lateral incision is made, exposing the subtalar joint, and an osteotomy is performed. Subtalar joint arthrodesis for elective and posttraumatic.
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