Massimiliano Mosca1, Silvio Caravelli2, Mario Fuiano3, Simone Massimi4, Davide Censoni4, Alberto Grassi5, Emanuele Vocale4, Francesco Ceccarelli6, Stefano Zaffagnini7. 1. II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. Electronic address: massimiliano.mosca@ior.it. 2. II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. Electronic address: doct.car@gmail.com. 3. II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. Electronic address: mariofuiano@yahoo.it. 4. II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. 5. II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. Electronic address: alberto.grassi@ior.it. 6. Clinica Ortopedica, Azienda ospedaliero-universitaria Parma, Parma, Italy. Electronic address: francesco.ceccarelli@unipr.it. 7. II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. Electronic address: stefano.zaffagnini@unibo.it.
Abstract
INTRODUCTION: The purpose of this study is to determine the efficacy of tibiotalocalcaneal arthrodesis by reamed intramedullary nail in the management of the distal tibia non-unions, associated with end-stage osteoarthritis of ankle and subtalar joints. MATERIALS AND METHODS: 8 patients with radiographical and clinical diagnosis of non-union of the distal tibia have been treated with tibiotalocalcaneal arthrodesis by intramedullary retrograde nail and were retrospectively evaluated. Patients were radiographically and clinically evaluated preoperatively and at final follow-up regarding: satisfaction, AOFAS, VAS. Surgical technique is described. RESULTS: Mean follow-up was 69.2 ± 23.2 months (range 48-108). In terms of subjective outcome, patients reported a highly satisfying result. All patients returned to daily activities, with an average time of 24.7 ± 8.7 weeks. 6 patients could return to their previous work activity, with an average time of 23.6 ± 6.3 weeks. CONCLUSIONS: The procedure showed good results at final follow up. Consolidation was achieved in all the treated cases. Considering AOFAS and VAS scores at final follow-up, there was an evident improvement of the conditions of the patients.
INTRODUCTION: The purpose of this study is to determine the efficacy of tibiotalocalcaneal arthrodesis by reamed intramedullary nail in the management of the distal tibia non-unions, associated with end-stage osteoarthritis of ankle and subtalar joints. MATERIALS AND METHODS: 8 patients with radiographical and clinical diagnosis of non-union of the distal tibia have been treated with tibiotalocalcaneal arthrodesis by intramedullary retrograde nail and were retrospectively evaluated. Patients were radiographically and clinically evaluated preoperatively and at final follow-up regarding: satisfaction, AOFAS, VAS. Surgical technique is described. RESULTS: Mean follow-up was 69.2 ± 23.2 months (range 48-108). In terms of subjective outcome, patients reported a highly satisfying result. All patients returned to daily activities, with an average time of 24.7 ± 8.7 weeks. 6 patients could return to their previous work activity, with an average time of 23.6 ± 6.3 weeks. CONCLUSIONS: The procedure showed good results at final follow up. Consolidation was achieved in all the treated cases. Considering AOFAS and VAS scores at final follow-up, there was an evident improvement of the conditions of the patients.
Authors: Manish P Mehta; Mitesh P Mehta; Alain E Sherman; Muhammad Y Mutawakkil; Raheem Bell; Milap S Patel; Anish R Kadakia Journal: Foot Ankle Orthop Date: 2021-10-29
Authors: Bjoern Vogt; Robert Roedl; Georg Gosheger; Gregor Toporowski; Andrea Laufer; Christoph Theil; Jan Niklas Broeking; Adrien Frommer Journal: Acta Orthop Date: 2020-08-24 Impact factor: 3.717