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ARTRODESIS DE TOBILLO PDF

Learn more about Artrodesis del pie y el tobillo: cirugía artroscópica at Cartersville Medical Group DefiniciónRazones para realizar el procedimientoPosibles. ARTRODESIS DE TOBILLO “TECNICA DE RESCATE” ANTECEDENTES ALBERT DESCRIBIO LAS PRIMERAS ARTRODESIS EN EL AÑO. VuMedi is a video education platform for doctors. Over doctors use VuMedi to improve patient care and grow their practice.

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Investigation performed at St. The authors did not receive grants or outside funding in support of their research for or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from arrrodesis commercial entity.

No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or robillo charitable or nonprofit organization with which the authors are affiliated or associated.

The functional outcomes following ankle arthrodesis are not known.

The purpose of the present study was to compare the intermediate-term clinical results for a group of patients in whom an ankle arthrodesis had been performed with use of tobilllo surgical techniques with the findings for a group of healthy gender and age-matched controls on the basis of validated outcome measures and gait analysis.

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Twenty-six patients who had undergone ankle arthrodesis for the treatment of isolated unilateral ankle arthritis were identified and retrospectively assessed clinically and radiographically. The mean age at the time artrdesis surgery was fifty-four years, and the mean interval between surgery and assessment was forty-four months.

A gender and age-matched control group of twenty-seven individuals was recruited for comparison. On preliminary review, twenty of the twenty-six patients were completely satisfied or satisfied with their surgical outcome.

All patients but one stated that they would undergo the surgery again. Five patients stated that they did not notice a gait abnormality. Twelve patients wore orthotics, and all believed that the use of the orthotics improved their gait.

When the functional outcome scores re the arthrodesis group were compared with those in the control group, specific scores assessing hindfoot pain and satisfaction were similar. However, scores focusing on ankle-hindfoot function and disability revealed significant differences. Gait analysis also identified significant differences between the two groups with regard to cadence and stride length.

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In addition, there was significantly decreased sagittal, coronal, and transverse range of motion of the hindfoot and midfoot during the stance and swing phases of gait in the arthrodesis group. Radiographic review demonstrated that four of the twenty-six patients had development of moderate to severe arthritis of the subtalar joint. In the intermediate term following an arthrodesis for the treatment of end-stage ankle arthritis, pain is reliably relieved and there is good patient satisfaction.

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However, there are substantial differences between patients and the normal population with regard to hindfoot function and gait.

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On the basis of these results, patients should be counseled that an ankle fusion will help to relieve pain and to improve overall function; however, it is a salvage procedure that will cause persistent alterations in gait with a potential for deterioration due to the development of ipsilateral hindfoot arthritis. When Is Surgery Indicated?

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