Document Detail


Tibiotalocalcaneal arthrodesis using a supracondylar femoral nail for advanced tuberculous arthritis of the ankle.
MedLine Citation:
PMID:  20065373     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To review 7 patients with advanced osteoarticular tuberculous arthritis of the ankle who underwent arthrodesis using a supracondylar femoral nail. METHODS: All patients showed gross destruction of the articular cartilage of the tibiotalar joint with severe periarticular rarefaction on radiographs. Their pre- and one-year post-operative Foot and Ankle Outcome Scores (FAOS) were compared. All patients underwent joint debridement, complete synovial excision, and arthrodesis using a supracondylar femoral nail, followed by multidrug chemotherapy for 12 months (isoniazid, rifampicin, pyrazinamide, and ethambutol for 3 months, and isoniazid and rifampicin for 9 months). RESULTS: All patients achieved fusion in a mean of 13 weeks and regained their preoperative level of independence. No patient had a relapse, major complications, or hardware failure. At postoperative year one, the mean FAOS for pain improved to 85 from 26, whereas the mean FAOS for quality of life improved to 60 from 5. CONCLUSION: Tibiotalocalcaneal arthrodesis using a supracondylar femoral nail, combined with debridement and multidrug therapy, enabled a reliable one-stage solution for advanced osteoarticular tuberculosis and early return to function.
Authors:
Ashok S Gavaskar; Naveen Chowdary
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of orthopaedic surgery (Hong Kong)     Volume:  17     ISSN:  1022-5536     ISO Abbreviation:  J Orthop Surg (Hong Kong)     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-01-12     Completed Date:  2010-04-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9440382     Medline TA:  J Orthop Surg (Hong Kong)     Country:  China    
Other Details:
Languages:  eng     Pagination:  321-4     Citation Subset:  IM    
Affiliation:
Department of Orthopedics, Mahatma Gandhi Medical College, Pondicherry, India. gavaskar.ortho@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Ankle Joint / microbiology*,  radiography,  surgery*
Antitubercular Agents / therapeutic use
Arthrodesis / methods*
Arthroscopy
Bone Nails*
Calcaneus / surgery
Cartilage, Articular / microbiology,  radiography
Combined Modality Therapy
Debridement
Female
Humans
Male
Middle Aged
Pain Measurement
Talus / surgery
Tibia / surgery
Treatment Outcome
Tuberculosis, Osteoarticular / drug therapy,  radiography,  surgery*
Chemical
Reg. No./Substance:
0/Antitubercular Agents

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