Cargando…

Salvage arthrodesis for failed total ankle arthroplasty: Clinical outcome and influence of method of fixation on union rate in 18 ankles followed for 3–12 years

BACKGROUND AND PURPOSE: Total ankle arthroplasty (TAA) has gained popularity in recent years. If it fails, however, salvage arthrodesis must be reliable as a rescue procedure. We therefore investigated the clinical, radiographic, and subjective outcome after salvage arthrodesis in a consecutive grou...

Descripción completa

Detalles Bibliográficos
Autores principales: Doets, H Cornelis, Zürcher, Arthur W
Formato: Texto
Lenguaje:English
Publicado: Informa Healthcare 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856219/
https://www.ncbi.nlm.nih.gov/pubmed/20175648
http://dx.doi.org/10.3109/17453671003628764
_version_ 1782180242036621312
author Doets, H Cornelis
Zürcher, Arthur W
author_facet Doets, H Cornelis
Zürcher, Arthur W
author_sort Doets, H Cornelis
collection PubMed
description BACKGROUND AND PURPOSE: Total ankle arthroplasty (TAA) has gained popularity in recent years. If it fails, however, salvage arthrodesis must be reliable as a rescue procedure. We therefore investigated the clinical, radiographic, and subjective outcome after salvage arthrodesis in a consecutive group of patients, and concentrated on the influence of the method of fixation on union rate and on salvage in inflammatory joint disease. PATIENTS AND METHODS: Between 1994 and 2005, salvage arthrodesis was performed on 18 ankles (18 patients). Diagnosis was inflammatory joint disease (IJD) in 15 cases and osteoarthritis (OA) in 3. Tibio-talar fusion was performed in 7 ankles, and tibio-talocalcaneal fusion in 11. Serial radiographs were studied for time to union. Clinical outcome at latest follow-up was measured by the AOFAS score, the foot function index (FFI) and by VAS scores for pain, function, and satisfaction. RESULTS: Blade plates were used in 7 ankles (4 IJD, 3 OA); all united. Nonunion developed in 7 of the 11 rheumatic ankles stabilized by other methods. 11 patients (8 fused ankles, 3 nonunions) were available for clinical evaluation. Their mean AOFAS score was 62 and mean overall FFI was 70. VAS score for pain was 20, for function 64, and for satisfaction 74. The scores were similar in united and non-united ankles. INTERPRETATION: Blade plate fixation is successful in salvage arthrodesis for failed TAA. A high nonunion rate was found after salvage ankle arthrodesis in IJD with other methods of fixation. Clinical results were fair to good.
format Text
id pubmed-2856219
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher Informa Healthcare
record_format MEDLINE/PubMed
spelling pubmed-28562192010-09-03 Salvage arthrodesis for failed total ankle arthroplasty: Clinical outcome and influence of method of fixation on union rate in 18 ankles followed for 3–12 years Doets, H Cornelis Zürcher, Arthur W Acta Orthop Research Article BACKGROUND AND PURPOSE: Total ankle arthroplasty (TAA) has gained popularity in recent years. If it fails, however, salvage arthrodesis must be reliable as a rescue procedure. We therefore investigated the clinical, radiographic, and subjective outcome after salvage arthrodesis in a consecutive group of patients, and concentrated on the influence of the method of fixation on union rate and on salvage in inflammatory joint disease. PATIENTS AND METHODS: Between 1994 and 2005, salvage arthrodesis was performed on 18 ankles (18 patients). Diagnosis was inflammatory joint disease (IJD) in 15 cases and osteoarthritis (OA) in 3. Tibio-talar fusion was performed in 7 ankles, and tibio-talocalcaneal fusion in 11. Serial radiographs were studied for time to union. Clinical outcome at latest follow-up was measured by the AOFAS score, the foot function index (FFI) and by VAS scores for pain, function, and satisfaction. RESULTS: Blade plates were used in 7 ankles (4 IJD, 3 OA); all united. Nonunion developed in 7 of the 11 rheumatic ankles stabilized by other methods. 11 patients (8 fused ankles, 3 nonunions) were available for clinical evaluation. Their mean AOFAS score was 62 and mean overall FFI was 70. VAS score for pain was 20, for function 64, and for satisfaction 74. The scores were similar in united and non-united ankles. INTERPRETATION: Blade plate fixation is successful in salvage arthrodesis for failed TAA. A high nonunion rate was found after salvage ankle arthrodesis in IJD with other methods of fixation. Clinical results were fair to good. Informa Healthcare 2010-02 2010-03-31 /pmc/articles/PMC2856219/ /pubmed/20175648 http://dx.doi.org/10.3109/17453671003628764 Text en Copyright: © Nordic Orthopedic Federation http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited.
spellingShingle Research Article
Doets, H Cornelis
Zürcher, Arthur W
Salvage arthrodesis for failed total ankle arthroplasty: Clinical outcome and influence of method of fixation on union rate in 18 ankles followed for 3–12 years
title Salvage arthrodesis for failed total ankle arthroplasty: Clinical outcome and influence of method of fixation on union rate in 18 ankles followed for 3–12 years
title_full Salvage arthrodesis for failed total ankle arthroplasty: Clinical outcome and influence of method of fixation on union rate in 18 ankles followed for 3–12 years
title_fullStr Salvage arthrodesis for failed total ankle arthroplasty: Clinical outcome and influence of method of fixation on union rate in 18 ankles followed for 3–12 years
title_full_unstemmed Salvage arthrodesis for failed total ankle arthroplasty: Clinical outcome and influence of method of fixation on union rate in 18 ankles followed for 3–12 years
title_short Salvage arthrodesis for failed total ankle arthroplasty: Clinical outcome and influence of method of fixation on union rate in 18 ankles followed for 3–12 years
title_sort salvage arthrodesis for failed total ankle arthroplasty: clinical outcome and influence of method of fixation on union rate in 18 ankles followed for 3–12 years
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856219/
https://www.ncbi.nlm.nih.gov/pubmed/20175648
http://dx.doi.org/10.3109/17453671003628764
work_keys_str_mv AT doetshcornelis salvagearthrodesisforfailedtotalanklearthroplastyclinicaloutcomeandinfluenceofmethodoffixationonunionratein18anklesfollowedfor312years
AT zurcherarthurw salvagearthrodesisforfailedtotalanklearthroplastyclinicaloutcomeandinfluenceofmethodoffixationonunionratein18anklesfollowedfor312years