Outcome Of Ankle And Subtalar Joint Arthrodesis Using Retrograde Hindfoot Fusion Nailing System A Prospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Ankle and subtalar joint, when painful and refractory to conservative management, needs fusion. Fusion of both joints, known as pantalar arthrodesis (PTA) is truly a salvage procedure, an alternative to amputation. Initially, PTA was done in two stages, but currently one stage procedure is the choice among which retrograde nailing is the latest. A prospective study was done on eight (n=8) adult patients treated with retrograde hind foot fusion nailing system between april 2015 to april 2018. Patients were aged between 25 - 65yrs (avg. 45 yrs), suffering from secondary arthritis due to varying causes. Pre and post-operative assessment of clinical outcome was done using the Ankle and Hind foot Scale (AOFAS). All cases in our study, were treated with retrograde hind foot fusion nailing system, united within mean duration of 16 wks (range 12 - 22 wks). AOFAS score improved from an average pre-operative score of 24 (range 18 - 30) to 78 (range 60 -86), postoperatively. So our conclusion is that, retrograde hind foot fusion nailing system is a safe and effective procedure for pantalar arthrodesis in patients with painful arthritis, refractory to conservative management.
Authors and Affiliations
Dr. Anindya Sundar Mukhopadhyay, Asso. Prof. ; Dr. Utpal Bandopadhyay, Asst. Prof. ; Dr. Debojyoti Roy, Dr. Sudipto Nayek, Dr. Krishnakant Soren, Dr. Arumoy Bhuimali
Keywords
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- EP ID EP430927
- DOI 10.9790/0853-1801022122.
- Views 55
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