Ankle Arthrodesis Using the Ilizarov Technique in Difficult Situations - a Prospective Study with Mid-to Long-term Follow up
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2015, Vol 17, Issue 2
Abstract
Background. Although various operative techniques are available for ankle arthrodesis, it is not rare to see orthopaedic surgeons facing difficult situations with ankles that cannot be reliably treated by any conventional methods other than the Ilizarov technique. This study was conducted to measure the outcome in such patients using the Ilizarov Ring fixator.Material and methods. Sixteen patients (average age 47.5 years) had primary or revision unilateral ankle arthrodesis using the Ilizarov technique. Among the 16 patients the pathology included severe difficult posttraumatic arthritis with diabetes mellitus (n=7), failed arthrodesis with internal fixation (n=4), difficult post-septic arthritis (n=3) and 1 case each of rheumatoid arthritis and post-polio residual palsy with instability. The primary outcome was bony union and ankle alignment. The clinical results were further evaluated according to the American Orthopaedic Foot and Ankle Society scoring (AOFAS) System at 6 months and yearly till final follow-up.Results. All ankles achieved arthrodesis at an average of 14 weeks (range 12-18 weeks). The average duration of follow-up was 5.7 years (range 4- 10 years). No major complication was seen except for 5 cases of superficial pin track infections, wound dehiscence in 1 patient and chronic discharging sinus in 1 patient. The average AOFAS score improved from an average of 35.25 (range 20- 44) points pre-operatively to an average of 78.37 (range 72-89) points at final follow-up.Conclusion. Ankle arthrodesis using Ilizarov technique shows a high fusion rate with no major complications and operative failures even in difficult and complicated situations.
Authors and Affiliations
Altaf Kawoosa, Muzamil Baba, Iftikhar Wani, Omar Khursheed, Faiz Dar, Arshad Bashir
Keywords
Related Articles
- EP ID EP57501
- DOI 10.5604/15093492.1157091
- Views 82
- Downloads 0
Zaklinowane zwichnięcie stawu śródręczno-palcowego drugiego. Studium przypadku
Zwichnięcie stawu śródręczno-palcowego drugiego jest rzadkim obrażeniem narządu ruchu i mimo niepozornego obrazu klinicznego z reguły wymaga leczenia operacyjnego. Przedstawiono przypadek zaklinowanego zwichnięcia, leczo...
<br /> Management of fractures of ceramic heads in total hip arthroplasty patients <br />
The authors present the case of an 80-year-old patient operated due to aseptic loosening of the femoral component as a consequence of mechanical incompatibility of the femoral component with the ceramic head of the pros...
Post-traumatic Heterotopic Ossification of The Crus.A Case Study.
The formation of mature lamellar bone at an ectopic site in the body is called heterotopic ossification. We report the case of a 28 year-old patient with heterotopic ossification (HO) in the left crus. He complained of d...
Organizacja, rola i znaczenie zespołu rehabilitacyjnego
Na podstawie 30-letnich doświadczeń na stanowisku ordynatora, autor dzieli się swoimi przemyśleniami na temat pracy zespołu rehabilitacyjnego. W dobrze zorganizowanym zespole rehabilitacyjnym rezultat wysiłku zespołu jes...
Assessment of Idiopathic Scoliosis Patients' Satisfaction with Thoracolumbar Brace Treatment
Background. Bracing is the most efficient non-surgical method of treatment for idiopathic scoliosis patients with 25-45° curvature according to Cobb. The aim of the present study was to assess compliance of idiopathic sc...