Minimally Invasive Surgery for Tibiotalocalcaneal Arthrodesis Using a Retrograde Intramedullary Nail: Preliminary Results of an Innovative Modified Technique

Biz, Carlo; Hoxhaj, Bramir; Aldegheri, Roberto; Iacobellis, Claudio

doi:10.1053/j.jfas.2016.06.002

Cited by 30 publications

(48 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Moreover, no collapse of the talus dome was observed in any of the patients with AVN. In contrast, some authors have reported a ratio of dome collapse of up to 71.4% after AVN [5, 10], which would have required salvage surgery, such as triple arthrodesis [48] or total ankle prostheses [2].…”

Section: Discussionmentioning

confidence: 99%

Long-term radiographic and clinical-functional outcomes of isolated, displaced, closed talar neck and body fractures treated by ORIF: the timing of surgical management

Biz

Golin

Cicco

et al. 2019

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

Background The main purpose of this retrospective case series study was to evaluate long-term radiographic and clinical outcomes of a consecutive series of patients diagnosed with isolated, displaced, closed talar neck or body fractures treated by open reduction and internal fixation (ORIF). Secondly, the aim was to verify the influence of the location of talar fractures on the outcomes, the prognostic value of the Hawkins sign, whether operative delays promote avascular necrosis (AVN) and if the fractures require emergent surgical management. Methods From January 2007 to December 2012, at our institution, 31 patients underwent ORIF through the use of screws. On the basis of Inokuchi criteria, the injuries were divided between neck and body fractures, which were classified according to Hawkins and Sneppen, respectively. The patients included were divided into two groups in relation to fracture location and complexity. Radiographic assessment focused on reduction quality, bone healing, the Hawkins sign and post-traumatic arthritis (PTA) development. For the clinical evaluation, clinical-functional scores (AOFAS Ankle-Hindfoot Score; MFS; FFI-17; SF-36) and VAS were determined, and statistical analysis was performed. Results 27 patients, 19 males and 8 females, mean age 38.3 years, were included with an average follow-up period of 83.2 months (range 49–119). There were 9 neck and 19 body fractures; their reduction was anatomical or nearly anatomical in 22 cases, and all reached radiographic consolidation after a mean period of 3.4 months (range 1.7–7). The Hawkins sign was observed in 9 cases, in which necrosis did not develop. With a 0–11 day surgical timing interval, more than 60% of the patients obtained good or fair results with different scores, while 18 (66.7%) were completely satisfied (VAS: 9–10). The early complications included malunions (21.4%) and wound problems (25%); the late complications involved AVN (25%) and PTA (78.6%). Conclusions Despite a high rate of long-term complications, satisfactory clinical results were achieved. Talar fracture location did not influence the outcomes, the Hawkins sign was confirmed as a positive prognostic factor, and operation timing did not influence AVN development. Hence, these injuries do not require emergent surgical management by ORIF .

show abstract

Section: Discussionmentioning

confidence: 99%

Long-term radiographic and clinical-functional outcomes of isolated, displaced, closed talar neck and body fractures treated by ORIF: the timing of surgical management

Biz

Golin

Cicco

et al. 2019

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

show abstract

“…Unfortunately, despite our experience in minimally invasive surgery [21], [22], because of the dimensions of the lesion, it was not possible to treat it percutaneosly. Hence, we performed the osteotomy in the usual way, fixing it by metalwork.…”

Section: Discussionmentioning

confidence: 99%

Freiberg’s infraction: A modified closing wedge osteotomy for an undiagnosed case

Biz

Zornetta

Fantoni

et al. 2017

International Journal of Surgery Case Reports

Self Cite

View full text Add to dashboard Cite

HighlightsThe pathogenesis of Freiberg’s infraction is not fully understood.We present a 31-year old woman with an undiagnosed Freiberg’s disease.Symptoms are not clearly correlated with Freiberg’s infraction in its early stages; this can lead to wrong diagnosis and treatment.Dorsal closing-wedge osteotomy with single screw stabilization can be a valuable tool when conservative treatments fail.

show abstract

“…However, in the case of this procedure, the biomechanics of the lower limb are more disturbed than after the ankle joint arthrodesis. A wide range of tibiotalocalcaneal arthrodesis techniques had been described [24–26]. In case of tibiotalocalcaneal arthrodesis with open surgical techniqes there is a big risk of complications like poor wound healing and infections [24–26].…”

Section: Discussionmentioning

confidence: 99%

“…A wide range of tibiotalocalcaneal arthrodesis techniques had been described [24–26]. In case of tibiotalocalcaneal arthrodesis with open surgical techniqes there is a big risk of complications like poor wound healing and infections [24–26]. The arthroscopic approach for tibiotalocalcaneal arthrodesis gives good results with a small rate of complications [24–26].…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of ankle arthrodesis with Ilizarov fixation and internal fixation

Morasiewicz

Dejnek

Orzechowski

et al. 2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Ankle arthrodesis may have internal or external stabilization. We assessed whether the type of stabilization after ankle arthrodesis will affect: (1) functional outcome in Foot and Ankle Ability Measure (FAAM) scale, (2) pain level, (3) period of hospitalization, (4) rate of complications. Methods We retrospectively studied 47 individuals after ankle arthrodesis with Ilizarov fixation (group 1, n = 21) and internal stabilization (group 2, n = 26) at our institution in years 2007–2015. Clinical outcomes were measure by: (1) functional outcome in FAAM scale, (2) pain level, (3) period of hospitalization, (4) rate of complications. Results Total number of complications in Ilizarov group was 13, which corresponded to 0.62 complications per patient on average. In group 2 there were 15 complications, which corresponded to 0.58 complications per patient on average. The intergroup difference in rate of complications was not statistically significant ( p = 0.066). In group 1 the mean VAS pain level before treatment was 4.69 and after treatment was 1.5 ( p = 0.037). In group with internal stabilization the mean VAS pain level before treatment was 4.71 and after treatment was 2.9 ( p = 0.044). In group 1 the mean period of hospitalization was 5.29 days, in group 2 was 5.71 days ( p = 0.517). In group 1 the mean functional outcome in FAAM scale was 79.38, in group 2 was 70.11 ( p = 0.458). Conclusions Ankle arthrodesis with Ilizarov stabilization is associated with lower prevalence of VAS pain level after surgery than after internal screws stabilization. Rate of complications, FAAM functional score and period of hospitalization were not statistically significant between group 1 and 2. Clinical outcome was satisfactory in group 1 and 2, but outcomes in Ilizarov group were slightly better than after internal stabilization.

show abstract

Minimally Invasive Surgery for Tibiotalocalcaneal Arthrodesis Using a Retrograde Intramedullary Nail: Preliminary Results of an Innovative Modified Technique

Cited by 30 publications

References 36 publications

Long-term radiographic and clinical-functional outcomes of isolated, displaced, closed talar neck and body fractures treated by ORIF: the timing of surgical management

Long-term radiographic and clinical-functional outcomes of isolated, displaced, closed talar neck and body fractures treated by ORIF: the timing of surgical management

Freiberg’s infraction: A modified closing wedge osteotomy for an undiagnosed case

Clinical evaluation of ankle arthrodesis with Ilizarov fixation and internal fixation

Contact Info

Product

Resources

About