Document Detail


Retrograde intramedullary nailing in tibiotalocalcaneal arthrodesis: a short-term, prospective study.
MedLine Citation:
PMID:  16513504     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this prospective study, tibiotalocalcaneal arthrodesis was performed in 29 patients with a retrograde femur nail (Interlocking Compression Nail; Stryker Trauma, Schönkirchen, Germany) inserted through a plantar approach. Patients were evaluated by a standardized follow-up examination using the American Foot and Ankle Society ankle-hindfoot scale and the main criteria of the short-form health survey (36 items). Special emphasis was placed on surgical approach, bony consolidation, and postoperative quality of life. Solid fusion was achieved in 90% of the patients after a mean follow-up of 25 months. Twenty-two patients (76%) showed primary bone healing after an average of 5.2 months; a delayed union was observed in 7 patients. In 79% of the patients, pain was reduced effectively and quality of life substantially improved with the intramedullary nail arthrodesis. The average ankle-hindfoot score improved from 46 (range, 41-53) to 71 (range, 49-83) points. Complications occurred in 6 patients (21%), including 2 deep infections, 3 nonunions, and 1 case of postoperative flexion deformity. The authors found retrograde intramedullary nailing in tibiotalocalcaneal arthrodesis to be an effective technique in obtaining solid fusion, an effective relief from pain, and an improvement of quality of life.
Authors:
Michael Goebel; L Gerdesmeyer; T Mückley; M Schmitt-Sody; P Diehl; J Stienstra; V Bühren
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons     Volume:  45     ISSN:  1067-2516     ISO Abbreviation:  J Foot Ankle Surg     Publication Date:    2006 Mar-Apr
Date Detail:
Created Date:  2006-03-03     Completed Date:  2006-06-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9308427     Medline TA:  J Foot Ankle Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  98-106     Citation Subset:  IM    
Affiliation:
Klinik für Orthopädie und Sportorthopädie, Krankenhaus München Bogenhausen, Englschalkingerstrasse 77, 81925 Munich, Germany. michaelgoebel@yahoo.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Ankle Injuries / complications
Ankle Joint / surgery*
Arthralgia / etiology,  surgery
Arthritis / etiology,  surgery
Arthrodesis / adverse effects,  instrumentation*,  methods
Bone Malalignment / etiology,  surgery
Bone Nails*
Female
Follow-Up Studies
Health Status
Humans
Male
Middle Aged
Pain Measurement
Prospective Studies
Quality of Life
Recovery of Function
Reoperation
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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