Ankle Arthrodesis

Boc, Steven F.; Norem, Nathan D.

doi:10.1016/j.cpm.2011.10.005

Cited by 12 publications

(9 citation statements)

References 34 publications

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“…O acesso lateral ou transfibular é uma abordagem comum, utilizada historicamente no tratamento das doenças dessa articulação (20) . Além da necessidade de uma osteotomia, é comum que o desbridamento do lado oposto da articulação seja feito por um acesso complementar sobre o maléolo medial (1,21) . Assim como no presente estudo poucas complicações são relatadas ao método e resumem-se em infecções superficiais e deiscências pontuais, tratadas com curativos e ciclo de antibiótico.…”

Section: Discussionunclassified

Ankle arthrodesis via a transfibular approach and circular external fixation

et al. 2019

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Objective: To present the radiographic and functional outcomes of a series of 11 cases of ankle arthrodesis performed with a circular external fixator using the Ilizarov method and a transfusion approach, conducted between January 2017 and June 2018. Methods: The patients were evaluated according to American Orthopedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores. Ankle radiographs were evaluated on anteroposterior and profile views. All patients underwent a similar procedure regarding the surgical approach and assembly of the Ilizarov apparatus. Results: Eleven patients, with a mean age of 44.81 years (28-70 years), underwent surgery. The average follow-up time was 50.81 weeks (13-90 weeks). The main indication for surgery was post-traumatic secondary arthritis. The mean functional AOFAS score was 55.72 (45-64) points. An evaluation of the soft tissues revealed surgical wound healing of the transfibular approach in 9 patients (81%). All cases showed signs of superficial pin- or wire-tract infection. Union was reported in 10 patients (90.9%), and the radiographic varus deformities found in 2 patients did not exceed 7º. No additional surgical procedure was required during follow-up. Conclusion: Ankle arthrodesis performed by a transfibular approach and fixation performed by the Ilizarov method were efficient, promoted the functional restoration of the patient, considering the complexity of the cases, and resulted in a high union rate. Level of Evidence IV; Therapeutic Studies; Case Series.

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Section: Discussionunclassified

Ankle arthrodesis via a transfibular approach and circular external fixation

et al. 2019

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“…Ankle arthrodesis was first reported in 1879. Early application of this technique was always associated with higher complications, such as failed bony fusion, poor healing of the incision, blood vessels and nerves injuries, and infections [ 2 , 4 ]. With the development of the technology, complications of ankle arthrodesis gradually declined, and patients were more satisfied with the outcome.…”

Section: Discussionmentioning

confidence: 99%

Application of 3D-Printed Personalized Guide in Arthroscopic Ankle Arthrodesis

Duan

He²,

Fan

et al. 2018

BioMed Research International

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Objective To accurately drill the Kirschner wire with the help of the 3D-printed personalized guide and to evaluate the feasibility of the 3D technology as well as the outcome of the surgery. Methods Patients' DICM data of ankle via CT examinations were introduced into the MIMICS software to design the personalized guides. Two 2mm Kirschner wires were drilled with the help of the guides; the C-arm fluoroscopy was used to confirm the position of the wires before applying the cannulated screws. The patients who underwent ankle arthrodesis were divided into two groups. The experimental group adopted the 3D-printed personalized guides, while the control group received traditional method, i.e., drilling the Kirschner wires according to the surgeon's previous experience. The times of completing drilling the Kirschner wires to correct position were compared between the two groups. Regular follow-ups were conducted to statistically analyze the differences in the ankle fusion time and AOFAS scores between the two groups. Results 3D-printed personalized guides were successfully prepared. A total of 29 patients were enrolled, 15 in the experimental group and 14 in the control group. It took 2.2 ± 0.8 minutes to drill the Kirschner wires to correct position in the experimental group and 4.5 ± 1.6 minutes in the control group (p=0.001). No obvious complications occurred in the two groups during and after surgery. Postoperative radiographs confirmed bony fusion in all cases. There were no significant differences in the fusion time (p=0.82) and AOFAS scores at 1 year postoperatively between the two groups (p=0.55). Conclusions The application of 3D-printed personalized guide in assisting the accurate drilling of Kirschner wire in ankle arthrodesis can shorten the operation time and reduce the intraoperative radiation. This technique does not affect the surgical outcome. Trial Registration Number This study is registered on www.clinicaltrials.gov with NCT03626935.

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“…A artrodese do tornozelo era realizada antes de 1900 como procedimento para estabilização de paralisia secundária: a poliomielite, e foi descrita a primeira vez por Albert. Década de 1950, Charnley introduziu um dispositivo semelhante a um fixador externo para artrodese de compressão (6) . A artrodese é o procedimento padrão-ouro para tratamento de artrose pós-traumática em estágios avançados (4) .…”

Section: Discussionunclassified

“…Considerando os avanços das técnicas cirúrgicas para a artrodese do tornozelo percebe-se melhores resultados e diminuição de complicações, com consequente impacto positivo na qualidade de vida dos indivíduos (6) .…”

Section: Introductionunclassified

Impact of ankle arthrodesis on quality of life

et al. 2018

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Objective: To evaluate the quality of life of patients undergoing ankle arthrodesis through functional scores such as the American Orthopedic Foot & Ankle Society (AOFAS) scale adapted for the Portuguese language and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Methods: A descriptive cross-sectional study was carried out between January 2005 and December 2016, with 26 patients undergoing anklearthrodesis. Two quality of life assessment questionnaires were applied: the AOFAS in the pre- and postoperative period and the SF-36 in the postoperative period. Descriptive and analytical statistical analyses were performed using SPSS, version 23. Results: The main findings are related to the correlations of functional capacity (p=0.002; R²=0.42), limitation due to physical aspects (p=0.05; R²=0.19) and pain (p=0.006; R²=0.35) with age as the predictor and the correlation between preoperative AOFAS scores (p=0.03; R²=0.27) and the aetiology of arthrodesis as the predictor. Conclusion: Ankle arthrodesis is a procedure capable of improving the quality of life of the patient as a whole, including the physical, social, emotional and mental health aspects, rather than pain alone, which has been the main objective of the procedure until the present moment. Level of Evidence II; Prognostic Studies.

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Ankle Arthrodesis

Cited by 12 publications

References 34 publications

Ankle arthrodesis via a transfibular approach and circular external fixation

Ankle arthrodesis via a transfibular approach and circular external fixation

Application of 3D-Printed Personalized Guide in Arthroscopic Ankle Arthrodesis

Impact of ankle arthrodesis on quality of life

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