Évolution à long terme des arthrodèses tibio-astragaliennes. [Long-term development of tibio-astragalus arthrodesis]

Details

Serval ID
serval:BIB_12D09B0FE0F4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Évolution à long terme des arthrodèses tibio-astragaliennes. [Long-term development of tibio-astragalus arthrodesis]
Journal
Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Moteur
Author(s)
Dutoit M.
ISSN
0035-1040 (Print)
Publication state
Published
Issued date
1987
Volume
73
Number
3
Pages
189-96
Notes
English Abstract Journal Article
Abstract
Twenty-eight arthrodeses of the ankle have been reviewed with a mean follow-up of nine-and-a-half years. The arthrodeses were all carried out using the same technique of osteotomy of the lateral malleolus and fixation with a Charnley compression device. The main indication for fusion was post-traumatic arthritis. The number of complications, most of them benign, was not negligible and amounted to 42 per cent, including superficial infections, skin necroses and lesions of the posterior tibial nerve. Revision operations were needed in 17.5 per cent of cases during the year after operation, most of them for malposition. The clinical results were satisfactory in three-quarters of the cases and poor in one-quarter. Radiological changes in the joints distal to the fusion were relatively marked in the subtaloid joint and slightly less in the midtarsal joint. Theses changes are a source of concern for the future because of their pre-arthritic appearance and their progressive nature. Adaptive hypermobility of the midtarsal joint was seen in only one-third of the cases. The changes were greater when the hindfoot was in equinus, a position which was often aimed for in this series. The author advises internal fixation with screws and discusses the future potential for arthroplasty.
Keywords
Adolescent Adult Aged Ankle Injuries Ankle Joint/radiography/*surgery *Arthrodesis/adverse effects Female Humans Male Middle Aged Talus/*injuries Tibial Fractures/*surgery
Pubmed
Web of science
Create date
28/01/2008 12:14
Last modification date
20/08/2019 12:41
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