Treatment of posttraumatic tibiotalar and talocalcaneal arthritis with tibiotalocalcaneal arthrodesis plus retrograde intramedullary nail
- VernacularTitle:逆行髓内钉胫距跟关节融合治疗胫距、距下关节创伤性关节炎
- Author:
Zhongmin SHI
;
Xutao XIE
;
Changqing ZHANG
;
Bingfang ZENG
- Publication Type:Journal Article
- Keywords:
Calcaneus;
Arthritis,posttraumatic;
Fracture fixation,intramedullary;
Tibiotalocalcaneal arthrodesis
- From:
Chinese Journal of Trauma
2008;24(5):347-349
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical outcome of tibiotalocalcaneal arthrodesis plus retrograde intramedullary nail in treatment of severe posttraumatic tibiotalar and talocalcaneal arthritis.Methods A total of 17 cases of severe posttraumatic tibiotalar and subtalar arthritis were treated with tibiotalocalcaneal arthrodesis plus retrograde intramedullary nail between June 2003 and June 2006.Patients were evaluated by a standardized follow-up examination using ankle-hindfoot scale of the American Orthopedic Foot & Ankle Society(OFAS)score. Results Of all,14 cases were followed up postoperatively,with a mean follow-up period of 14.6 months(6-23 months).Bony fusion was achieved in 12 cases (86%)after an average of 11.6 weeks(8-19 weeks)but a delayed union in 2 after 17-19 weeks.Two cases(12%)complained heel pain at the nail entry point at initial stage of operation.The average anklehindfoot score improved from 47 points(43-55 points)preoperatively to 75 points(69-86 points)postoperatively. Conclusion Tibiotalocalcancal arthrodesis plus retrograde intramedullary nailing is proved to be effective in treating severe posttraumatic tibiotalar and talocalcaneal arthritis by marked relief from pain and improvement of life quality.
