Anterior Ankle Arthrodesis with Molded Plate: Technique and Outcomes | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 16، دوره 2، شماره 3، آذر 2014، صفحه 203-209 اصل مقاله (714.97 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2014.3236 | ||
| نویسندگان | ||
| Mohammad Gharehdaghi؛ Hasan Rahimi؛ Alireza Mousavian* | ||
| Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| Background: There is still controversy regarding the best technique for ankle arthrodesis to acheive stable rigid fixation along with reconstructing a functional plantigrade foot. Moreover, existing techniques have complictions related to stability, soft tissue covering, fusion rate, and exposure. Methods: With the anterior approach exactly on the tibialis anterior sheath, the joint was exposed and previous hardware, if any, was removed and with the safe direct approach, the ankle, hindfoot, and indirectly the subtalar joints were accessed. Then fresh cancellous bone was obtained and complete denudation was preformed. Lastly, a narrow 4.5 millimeter plate was carefully placed on what was determined to be the best final position.In this prospective study, 12 patients with severe ankle pain and arthritis enrolled from February 2010 to January 2012. Eight of them had posttraumatic arthritis and deformity with hardware, two had rheumatoid arthritis, one had poliomyelitis with severe deformity of the foot and knee, and another had chronic ulcerative ynovitis of the ankle joint. The patients were assessed clinically and radiographically for an average of two years (range: 13 months to 4 years) for functional recovery, range of motion, stability of the ankle, and imaging evidence of union. Results: Ankle deformities and pain in all 12 cases were corrected. With a short healing time and rapid recovery period, after six weeks all of the patients could walk independently. Also, scores of the Manchester–Oxford Foot Questionnaire (MOXFQ) improved significantly from 69 preoperatively to 33 postoperatively). Conclusions: Anterior ankle arthrodesis with molded plating can be an easy and safe way to manage deformities and it has excellent fusion rate and sufficient rigid fixation. | ||
| کلیدواژهها | ||
| Ankle؛ Arthrodesis؛ Plating | ||
| مراجع | ||
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Abidi NA, Gruen GS, Conti SF. Ankle arthrodesis: indications and techniques. J Am Acad Orthop Surg. 2000; 8:200-9.
Buck P, Morrey B, Chao E. The optimum position of arthrodesis of the ankle. A gait study of the knee and ankle. J Bone Joint Surg Am. 1987; 69:1052-62.
Demetracopoulos CA, Halloran JP, Maloof P, Adams Jr SB, Parekh SG. Total ankle arthroplasty in end-stage ankle arthritis. Curr Rev Musculoskelet Med. 2013; 6:279-84.
Zuo Q, Wei X, Su J. Recent progress of fixation techniques of ankle arthrodesis. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012; 26:449-52.
Slater GL, Sayres SC, O’Malley MJ. Anterior ankle arthrodesis. World J Orthop. 2014;5:1-5.
Betz MM, Benninger EE, Favre PP, Wieser KK, Vich MM, Espinosa N. Primary stability and stiffness in ankle arthrodes—Crossed screws versus anterior plating. Foot Ankle Surg. 2013; 19:168-72.
Kakarala G, Rajan DT. Comparative study of ankle arthrodesis using cross screw fixation versus anterior contoured plate plus cross screw fixation.Acta Orthop Belg. 2006;72:716-21.
Frigg A, Nigg B, Davis E, Pederson B, Valderrabano V. Does alignment in the hindfoot radiograph influence dynamic foot-floor pressures in ankle and tibiotalocalcaneal fusion?. Clin Orthop Relat Res. 2010; 468:3362-70.
Haaker R, Kohja E, Wojciechowski M, Gruber G. Tibio-talo-calcaneal arthrodesis by a retrograde intramedullary nail. Ortop Traumatol Rehabil. 2010; 12:245-9.
Caixeta TB, Júnior MOC, de Castro RV, Martins JS, Costa EN, Albieri AD, et al. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation. Revista Brasileira de Ortopedia (English Edition). 2014;49:56-61.
Goebel M, Gerdesmeyer L, Mückley T, Schmitt-Sody M, Diehl P, Stienstra J, et al. Retrograde Intramedullary Nailing in Tibiotalocalcaneal Arthrodesis: A Short-Term, Prospective Study. J Foot Ankle Surg. 2006; 45:98-106.
Mendicino RW, Catanzariti AR, Saltrick KR, Dombek MF, Tullis BL, Statler TK, et al. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing. J Foot Ankle Surg. 2004; 43:82-6.
Plaass C, Knupp M, Barg A, Hintermann B. Anterior double plating for rigid fixation of isolated tibiotalar arthrodesis. Foot Ankle Int. 2009; 30:631-9.
Pochatko DJ, Smith JW, Phillips RA, Prince BD, Hedrick MR. Anatomic structures at risk: combined subtalar and ankle arthrodesis with a retrograde intramedullary rod. Foot Ankle Int. 1995; 16:542-7.
Cottino U, Collo G, Morino L, Cosentino A, Gallina V, Deregibus M, et al. Arthroscopic ankle arthrodesis: a review. Curr Rev Musculoskelet Med. 2012; 5:151-5.
Zwipp H, Rammelt S, Endres T, Heineck J. High union rates and function scores at midterm followup with ankle arthrodesis using a four screw technique. Clin Orthop Relat Res. 2010; 468:958-68.
Valderrabano V, Hintermann B, Nigg BM, Stefanyshyn D, Stergiou P. Kinematic changes after fusion and total replacement of the ankle part 2: Movement transfer. Foot Ankle Int. 2003; 24:888-96.
Takakura Y, Tanaka Y, Sugimoto K, Akiyama K, Tamai S. Long term results of arthrodesis for osteoarthritis of the ankle. Clin Orthop Relat Res. 1999;361:178-85.
Buchner M, Sabo D. Ankle fusion attributable to posttraumatic arthrosis: a long-term followup of 48 patients. Clin Orthop Relat Res. 2003;406:155-64.
Baumhauer JF, Pinzur MS, Daniels TR, Lin SS, Beasley W, Donahue RM, et al. Survey on the Need for Bone Graft in Foot and Ankle Fusion Surgery. Foot Ankle Int. 2013; 34:1629-33.
Tan BY, Ng SY, Chong KW, Rikhraj IS. Tibiotalocalcaneal arthrodesis in a Singaporean hospital. J Orthop Surg (Hong Kong). 2013; 21:51-4.
O’Neill PJ, Logel KJ, Parks BG, Schon LC. Rigidity comparison of locking plate and intramedullary fixation for tibiotalocalcaneal arthrodesis. Foot Ankle Int. 2008; 29:581-6.
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