Tibiocalcaneal arthrodesis using an Ilizarov fixator.
作者信息
Leite Alessandro Marcondes, Menezes Helder Mattos, Aquino Igor E Castro, Martins Jefferson Soares, Moraes Frederico Barra de
机构信息
Resident Physician in Orthopedics and Traumatology, Emergency Hospital of Goiânia, Goiânia, Goiás, Brazil.
Orthopedist and Head of Residence in Orthopedics and Traumatology, Emergency Hospital of Goiânia, Goiânia, Goiás, Brazil.
出版信息
Rev Bras Ortop. 2013 Jun 11;48(1):57-61. doi: 10.1016/j.rboe.2013.04.005. eCollection 2013 Jan-Feb.
OBJECTIVE
To evaluate the results of arthrodesis with Ilizarov fixator with tibiocalcaneana.
METHODS
We studied 12 patients with a mean age of 35 years, and 9 (75%) men and 3 (25%) women, underwent arthrodesis tibiocalcaneana. The diagnosis in the preoperative talus infection. We used a modified surgical technique Reckling (6 patients) and the Ilizarov technique, modified by Catagni (6 patients). Patients were evaluated by the AOFAS scale research and patient satisfaction.
RESULTS
Union was achieved in 100% of cases. The mean time to healing was 6 months (range 4-12 months) and mean duration of external fixator removal was 9 months (range 4-13 months). Stretching was performed in 6 patients with an average of 4 cm. The follow-up with Vancomycin lasted around 6 months. The average AOFAS score was 72.5 points (range 57 to 89 points). All patients were satisfied with the result.
CONCLUSION
Despite the small number of cases, arthrodesis tibiocalcaneana seemed to be a good solution for cases of complex pathologies of the talus, such as infection, resulting in bone healing, pain relief and patient satisfaction.
Zotero 插件