Rosemberg Dov Lagus, Macedo Rodrigo Sousa, Sposeto Rafael Barban, Sakaki Marcos Hideyo, Godoy-Santos Alexandre Leme, Fernandes Tulio Diniz
Lab Prof Manilo Mario Marco Napoli, Department of Orthopedic Surgery, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, SP, Brazil.
Foot Ankle Orthop. 2023 Mar 6;8(1):24730114231157719. doi: 10.1177/24730114231157719. eCollection 2023 Jan.
Tibiotalocalcaneal arthrodesis is a well-established procedure to treat some hindfoot diseases. Currently, the most used implants are retrograde intramedullary nails and locking plates combined with lag screws, but there are few articles comparing differences regarding the complications.
We have retrospectively analyzed the medical records and the radiographs of patients older than 18 years who underwent this procedure in our service between 2005 and 2019 through retrograde intramedullary nails or lateral locking plates and compression screws with at least 12 months of follow-up and with no history of osteomyelitis in these bones.
We evaluated a total of 67 patients; of these, 48 received retrograde intramedullary nail implants and 19 received locking plates and compression screws. The overall mean age was 48 years; the median follow-up time was 64.3 months. The complication rate was 60.4% for the intramedullary nail procedure and 52.6% for the locking plate combined with compression screws procedure.
No significant differences were found in the complication rates between the 2 implants.
Level V, Case series.
胫距跟关节融合术是治疗某些后足疾病的成熟手术。目前，最常用的植入物是逆行髓内钉和锁定钢板联合拉力螺钉，但比较并发症差异的文章较少。
我们回顾性分析了2005年至2019年在我院接受该手术的18岁以上患者的病历和X线片，这些患者通过逆行髓内钉或外侧锁定钢板及加压螺钉进行手术，随访至少12个月，且这些骨骼无骨髓炎病史。
我们共评估了67例患者；其中，48例接受了逆行髓内钉植入，19例接受了锁定钢板及加压螺钉植入。总体平均年龄为48岁；中位随访时间为64.3个月。髓内钉手术的并发症发生率为60.4%，锁定钢板联合加压螺钉手术的并发症发生率为52.6%。
两种植入物的并发症发生率无显著差异。
V级，病例系列。
