Aseptic Loosening of Total Ankle Arthroplasty
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 3
Abstract
We present the case of a 62 years old man who suffered from a fracture of the astragals ten years ago. Since then he complained of pain while walking and at night. He used to be a taxi driver. The pain has led him to search for any other options since rehabilitation and NSAIDs did not improve his symptoms. He went under a total ankle arthroplasty replacement (Figure 1). After surgery, he was provided a foot ankle orthosis and remained not weight bearing for 6 weeks. After that time, he was let to initiate active exercises of the ankle, progressive weight bearing load and walking with canes. Electromagnetic pulsed fields were provided because of pain and edema. Articular balance was recovered by the second month post-surgery (dorsal flexion of 10º, and plantar flexion of 30º); but pain remained during walking and at night. He was referred to his orthopedic surgeon and anterior-posterior and lateral radiographies of the ankle were ordered. A slight radiolucent sign in anterior-posterior radiography of the tibia component was seen (Figure 2). He continued with Electromagnetic pulsed fields in order to reinforce bone adhesion, and to diminished pain and edema [1,2]. Active exercises were prescribed to maintain articular range of movement. He began to walk again with canes.Despite the referred treatment, he continued with pain and diminished active range of movement. At 6 months postsurgery, blood analyses were performed in order to discard a prosthetic infection. Haemogram, CRP and rate of sedimentation were strictly normal. Then a gammagraphy and new weight bearing anterior-posterior radiographies were ordered. A more noticeable radiolucent sign around the tibia component was observed (Figure 3). Gammagraphy with Tecnecium also demonstrated hypercaptation of the tibia component in early and in late phases of the exam (Figure 4); all those evaluations confirmed an aseptic loosening of the arthroplasty.
Authors and Affiliations
Marcos E Fernández Cuadros, María J Albaladejo Florín, Rubén Algarra López, Luz O Casique Bocanegra, Olga S Pérez Moro
Keywords
Related Articles
- EP ID EP571850
- DOI 10.26717/BJSTR.2017.01.000299
- Views 174
- Downloads 0
Bacterial Survey of Diabetic Ulcers in Diabetic Patients in Hospitals at Aba, Nigeria
Diabetic ulcers are usually seen as infected ulcers and run a chronic course. Selected documented records of diabetic patients with diabetic ulcers were taken from the laboratory sections of different hospitals and clini...
Granulomatosis with Polyangiitis with Intestinal Perforations as Complications: Case Report
Granulomatosis with Polyangiitis (GPA) is a systemic vasculitis which clinical manifestations are diverse, usually it shows involvement in pulmonary and nephrological level. The clinical case of a 36 years old male with...
Humans and Dogs with Cancer and their Foods
One in three people gets cancer. One in four dogs got cancer. In western countries where dogs are treated very well, dogs are fed processed foods mostly. These processed foods are the prime suspects for one of the causes...
Optimized Ophthalmic: Advances in the Treatment of Ocular Diseases in Animals
The eye is a highly complex organ in terms of structure and function. It is a very sensitive organ, the function of which may be affected even with mild insult to its homeostasis, due to direct injury or due to other loc...
Toxoplasmosis Frequency in Pregnant Women Attending Regional Health Centers in the City of Samambaia of the Federal District, Brazil
Toxoplasmosis is caused by T. gondii, with prevalence from 20 to 90% in the world population. In pregnant women, the presence of fetal infection reaches 40%. The aim of the study was to determine the frequency and risk f...