Tibio-talo-calcaneal Arthrodesis with Multiple Cannulated Screw Fixation.
- Author:
Hong Geun JUNG
1
;
Shin Hyung PARK
;
Hyun Yul YOO
;
Moon Jib YOO
Author Information
1. Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea. jungfoot@hanmail.net, jungfoot@kuh.ac.kr
- Publication Type:Original Article
- Keywords:
Tibio-talo-calcaneal joint;
Arthrodesis;
Multiple cannulated screw fixation
- MeSH:
Animals;
Ankle;
Arthritis;
Arthritis, Rheumatoid;
Arthrodesis;
Arthropathy, Neurogenic;
Congenital Abnormalities;
Female;
Follow-Up Studies;
Fractures, Stress;
Humans;
Leg;
Male;
Osteoarthritis;
Poliomyelitis;
Retrospective Studies;
Tibia
- From:Journal of Korean Foot and Ankle Society
2008;12(1):66-73
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the clinical results of tibio-talo-calcaneal arthrodesis fixed with multiple cannulated screws for the cases of painful ankle and hindfoot arthropathy regardless of any deformity or instability. MATERIALS AND METHODS: A retrospective analysis was performed upon 10 patients that underwent tibio-talo-calcaneal arthrodesis from October 1999 to May 2006. There were 4 males and 6 females, with an average age of 63 years (43-70). The etioloty of arthrodesis included 5 osteoarthritis, 2 Charcot joints, 1 rheumatoid arthritis, 1 Tbc arthritis and 1 residual poliomyelitis. Chief complaints were pain in 9 cases and instability in 1 case. Three patients had combined severe varus deformity. Tibio-talo-calcaneal arthrodesis using multiple cannulated screws was performed by transfibular approach for all cases and short leg cast was applied for 12 weeks postoperatively. RESULTS: The average follow-up period was 16.5 months (12-26 months). VAS pain score was average 8.2 (7-10) and modified AOFAS score was average 25 (8-40, total 86) preoperatively. At final follow-up, VAS score was average 1.0 (0-3) and AOFAS score improved to average 66 (58-75). There were 4 complications: 2 nonunion, 1 tibia stress fracture and 1 malunion. Seven of 8 patients were satisfied with the results at final follow-up. CONCLUSION: Fixation with multiple cannulated screws for tibio-talo-calcaneal arthrodesis through transfibular approach is a recommendable surgical option.
