دورية أكاديمية
أعرض في EDS

Ankle fusion using a 2-incision, 3-screw technique.

التفاصيل البيبلوغرافية
العنوان: Ankle fusion using a 2-incision, 3-screw technique.
المؤلفون: Hendrickx RP; Department of Orthopaedic Surgery, Orthopedic Research Center Amsterdam Academic Medical Center, The Netherlands., Kerkhoffs GM, Stufkens SA, van Dijk CN, Marti RK
المصدر: Operative Orthopadie und Traumatologie [Oper Orthop Traumatol] 2011 Apr; Vol. 23 (2), pp. 131-40.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Germany NLM ID: 9604937 Publication Model: Print Cited Medium: Internet ISSN: 1439-0981 (Electronic) Linking ISSN: 09346694 NLM ISO Abbreviation: Oper Orthop Traumatol Subsets: MEDLINE
أسماء مطبوعة: Publication: Berlin : Springer
Original Publication: München : Urban & Vogel, c1989-
مواضيع طبية MeSH: Bone Screws*, Ankle Joint/*surgery , Arthrodesis/*methods , Osteoarthritis/*surgery, Adolescent ; Adult ; Aged ; Child ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Patient Satisfaction ; Postoperative Complications/etiology ; Young Adult
مستخلص: Objective: Reliable fusion and optimal correction of the alignment of the ankle joint using a 2-incision, 3-screw technique.
Indications: Symptomatic osteoarthritis of the ankle joint after insufficient other treatment, severe deformity of the osteoarthritic ankle joint, or salvation procedure after failed arthroplasty.
Contraindications: Active osteomyelitis, very poor soft tissues, or severe peripheral arterial occlusive disease.
Surgical Technique: Osteotomy and excision medial malleolus. Osteotomy, dislocation, and denudation of the distal fibula. Osteotomy of distal tibia and talus in the desired position for optimal alignment. Temporary tibiotalar fixation with two Weber reposition clamps. Final tibiotalar fixation with a medial and lateral 4.5 mm full threaded cortical lag screw. Reduction of the distal fibula and fibulotibial fixation using a similar technique.
Postoperative Management: A nonweight-bearing circular below knee cast for 6 weeks, followed by a walker or weight-bearing cast for another 6 weeks.
Results: A total of 30 ankle fusions in 26 patients were analyzed. Mean age at fusion was 50 years (range 11-72.1 years). Mean follow-up time was 9.2 years (3.4-18.8 years). Radiological and clinical fusion in 28 (93%) of the primary arthrodeses. The mean American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot score was 66 ± 12. Of the 26 patients, 22 (85%) were satisfied. Deep wound infection occurred once (3%). No other serious complications were encountered. The described technique provides reliable long-term follow-up results for a wide range of indications for ankle fusion.
References: J Bone Joint Surg Am. 2006 Mar;88(3):526-35. (PMID: 16510818)
Clin Biomech (Bristol, Avon). 2003 Mar;18(3):244-53. (PMID: 12620788)
Foot Ankle Int. 1994 Jun;15(6):301-5. (PMID: 8075760)
Clin Orthop Relat Res. 1980 Jan-Feb;(146):111-8. (PMID: 7371240)
J Foot Ankle Surg. 1998 Jan-Feb;37(1):69-74; discussion 78. (PMID: 9470121)
Clin Orthop Relat Res. 1991 Jul;(268):56-64. (PMID: 2060227)
Acta Orthop Scand. 1996 Oct;67(5):473-8. (PMID: 8948253)
J Bone Joint Surg Br. 2007 May;89(5):615-9. (PMID: 17540746)
Foot Ankle Int. 2004 Aug;25(8):521-5. (PMID: 15363371)
Foot Ankle Int. 1994 Jul;15(7):349-53. (PMID: 7951968)
Oper Orthop Traumatol. 2005 Oct;17(4-5):345-60. (PMID: 16331375)
Foot Ankle Int. 2007 Jan;28(1):103-8. (PMID: 17257548)
J Bone Joint Surg Am. 2007 Sep;89(9):1899-905. (PMID: 17768184)
Foot Ankle Clin. 2003 Jun;8(2):347-59. (PMID: 12911246)
Foot Ankle Int. 2003 Jan;24(1):50-5. (PMID: 12540082)
Foot Ankle Surg. 2008;14(1):1-10. (PMID: 19083604)
Foot Ankle Int. 2005 Apr;26(4):275-80. (PMID: 15829210)
Foot Ankle Int. 2007 Mar;28(3):303-7. (PMID: 17371653)
Foot Ankle Int. 2007 Jun;28(6):695-706. (PMID: 17592700)
Clin Orthop Relat Res. 2010 Apr;468(4):958-68. (PMID: 19763726)
J Bone Joint Surg Am. 1987 Sep;69(7):1052-62. (PMID: 3654697)
Arch Orthop Trauma Surg. 1980;96(3):187-95. (PMID: 7425807)
Foot Ankle Int. 1997 Dec;18(12):792-7. (PMID: 9429881)
Foot Ankle Int. 1997 May;18(5):300-9. (PMID: 9167932)
Foot Ankle Int. 2006 Dec;27(12):1079-85. (PMID: 17207436)
Foot Ankle Surg. 2008;14(3):153-7. (PMID: 19083634)
J Bone Joint Surg Am. 2010 Jun;92(6):1335-42. (PMID: 20516308)
Hefte Unfallheilkd. 1978;133:71-84. (PMID: 361641)
Clin Orthop Relat Res. 1990 Apr;(253):212-20. (PMID: 2317977)
Foot Ankle Int. 1999 Aug;20(8):491-6. (PMID: 10473059)
Clin Orthop Relat Res. 1991 Jul;(268):21-8. (PMID: 2060210)
Clin Orthop Relat Res. 1985 Oct;(199):54-60. (PMID: 4042496)
Clin Orthop Relat Res. 1991 Jul;(268):84-95. (PMID: 2060232)
Foot Ankle Int. 1999 Jun;20(6):368-74. (PMID: 10395339)
Clin Orthop Relat Res. 1994 Jul;(304):195-9. (PMID: 8020215)
تواريخ الأحداث: Date Created: 20110402 Date Completed: 20111219 Latest Revision: 20211020
رمز التحديث: 20231215
DOI: 10.1007/s00064-011-0015-0
PMID: 21455740
قاعدة البيانات: MEDLINE
الوصف
تدمد:1439-0981
DOI:10.1007/s00064-011-0015-0