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Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation()()

OBJECTIVE: To evaluate clinically and functionally the pos-operative results of patients submitted to tibiotalocalcaneal arthrodesis for the treatment of traumatic arthropathy and neuropathy. METHODS: Retrospective study of 29 patients undergoing ankle arthrodesis with intramedullary retrograde nail...

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Autores principales: Caixeta, Thiago Barbosa, Júnior, Márcio Oliveira Calábria, de Castro, Régis Vieira, Martins, Jefferson Soares, Costa, Edegmar Nunes, Albieri, Alexandre Daher, de Moraes, Frederico Barra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511752/
https://www.ncbi.nlm.nih.gov/pubmed/26229773
http://dx.doi.org/10.1016/j.rboe.2013.12.017
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author Caixeta, Thiago Barbosa
Júnior, Márcio Oliveira Calábria
de Castro, Régis Vieira
Martins, Jefferson Soares
Costa, Edegmar Nunes
Albieri, Alexandre Daher
de Moraes, Frederico Barra
author_facet Caixeta, Thiago Barbosa
Júnior, Márcio Oliveira Calábria
de Castro, Régis Vieira
Martins, Jefferson Soares
Costa, Edegmar Nunes
Albieri, Alexandre Daher
de Moraes, Frederico Barra
author_sort Caixeta, Thiago Barbosa
collection PubMed
description OBJECTIVE: To evaluate clinically and functionally the pos-operative results of patients submitted to tibiotalocalcaneal arthrodesis for the treatment of traumatic arthropathy and neuropathy. METHODS: Retrospective study of 29 patients undergoing ankle arthrodesis with intramedullary retrograde nail. All patients were evaluated for fusion time, AOFAS and VAS scores, satisfaction, and complications of surgery. The mean follow-up was 36 months (range 6–60 months). RESULTS: The union rate was 82%, and the consolidation occurred on average at 16 weeks (10–24 weeks). The pos-operative AOFAS score improved in 65.5% (average of 57.7 on neurological cases and 75.7 on cases pos-traumatic) and VAS score improved 94.1% (average of 2.3 on neurological cases and 4,2 on post-traumatic cases), and 86% of patients were satisfied with the procedure performed. Complications occurred in 11 patients (38%), including pseudoarthrosis (17.24%), infection (17.24%), material failure (13.8%) and fracture (13.8%). CONCLUSION: Tibiotalocalcaneal arthrodesis with retrograde intramedullary nail proved to be a good option for saving the ankle joint, with improvement of clinical and functional scores (AOFAS = 65.5% and VAS = 94.1%).
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spelling pubmed-45117522015-07-30 Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation()() Caixeta, Thiago Barbosa Júnior, Márcio Oliveira Calábria de Castro, Régis Vieira Martins, Jefferson Soares Costa, Edegmar Nunes Albieri, Alexandre Daher de Moraes, Frederico Barra Rev Bras Ortop Original Article OBJECTIVE: To evaluate clinically and functionally the pos-operative results of patients submitted to tibiotalocalcaneal arthrodesis for the treatment of traumatic arthropathy and neuropathy. METHODS: Retrospective study of 29 patients undergoing ankle arthrodesis with intramedullary retrograde nail. All patients were evaluated for fusion time, AOFAS and VAS scores, satisfaction, and complications of surgery. The mean follow-up was 36 months (range 6–60 months). RESULTS: The union rate was 82%, and the consolidation occurred on average at 16 weeks (10–24 weeks). The pos-operative AOFAS score improved in 65.5% (average of 57.7 on neurological cases and 75.7 on cases pos-traumatic) and VAS score improved 94.1% (average of 2.3 on neurological cases and 4,2 on post-traumatic cases), and 86% of patients were satisfied with the procedure performed. Complications occurred in 11 patients (38%), including pseudoarthrosis (17.24%), infection (17.24%), material failure (13.8%) and fracture (13.8%). CONCLUSION: Tibiotalocalcaneal arthrodesis with retrograde intramedullary nail proved to be a good option for saving the ankle joint, with improvement of clinical and functional scores (AOFAS = 65.5% and VAS = 94.1%). Elsevier 2014-01-03 /pmc/articles/PMC4511752/ /pubmed/26229773 http://dx.doi.org/10.1016/j.rboe.2013.12.017 Text en © 2013 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora Ltda. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Caixeta, Thiago Barbosa
Júnior, Márcio Oliveira Calábria
de Castro, Régis Vieira
Martins, Jefferson Soares
Costa, Edegmar Nunes
Albieri, Alexandre Daher
de Moraes, Frederico Barra
Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation()()
title Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation()()
title_full Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation()()
title_fullStr Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation()()
title_full_unstemmed Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation()()
title_short Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation()()
title_sort tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing: 29 patients’ clinical and functional evaluation()()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511752/
https://www.ncbi.nlm.nih.gov/pubmed/26229773
http://dx.doi.org/10.1016/j.rboe.2013.12.017
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