Advanced

Tibiotalocalcaneal fusion using retrograde intramedullary nails as a salvage procedure for failed total ankle prostheses. Sixteen cases primarily operated on due to rheumaoid arthritis

Anderson, Thomas LU ; Rydholm, Urban LU ; Besjakov, Jack LU ; Montgomery, Fredrik and Carlsson, Åke LU (2005) In Foot & Ankle Surgery 11(3). p.143-147
Abstract
Between 1996 and 2002, 16 patients with rheumatoid arthritis and failed total ankle prosthesis underwent tibiotalocalcaneal fusion using retrograde intramedullary nails. The functional outcome was evaluated using the AOFAS scoring system and the patients were also asked about their satisfaction. Radiographs were obtained for all 16 cases minimum 1 year after surgery.



Thirteen of the 16 ankles were considered radiographically healed, 11 at the first attempt and two after repeat arthrodesis. The median AOFAS pain and total scores were 40 and 58, respectively. Two deep infections resulted in a fused ankle after antibiotic treatment.



In patients with rheumatoid arthritis and a failed total ankle... (More)
Between 1996 and 2002, 16 patients with rheumatoid arthritis and failed total ankle prosthesis underwent tibiotalocalcaneal fusion using retrograde intramedullary nails. The functional outcome was evaluated using the AOFAS scoring system and the patients were also asked about their satisfaction. Radiographs were obtained for all 16 cases minimum 1 year after surgery.



Thirteen of the 16 ankles were considered radiographically healed, 11 at the first attempt and two after repeat arthrodesis. The median AOFAS pain and total scores were 40 and 58, respectively. Two deep infections resulted in a fused ankle after antibiotic treatment.



In patients with rheumatoid arthritis and a failed total ankle prosthesis, tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail resulted in primary healing in two-thirds of the cases. Only two patients with a fused ankle were dissatisfied with the final result. The procedure is recommended in selected cases as an alternative to external fixation. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Intramedullary nail, Arthroplasty, Arthrodesis, Ankle
in
Foot & Ankle Surgery
volume
11
issue
3
pages
143 - 147
publisher
Elsevier
external identifiers
  • scopus:23944460588
DOI
10.1016/j.fas.2005.03.003
language
English
LU publication?
yes
id
39ae089d-3de6-4557-a7e7-6c1212429a28 (old id 1133103)
date added to LUP
2008-06-19 13:55:07
date last changed
2017-07-02 04:43:22
@article{39ae089d-3de6-4557-a7e7-6c1212429a28,
  abstract     = {Between 1996 and 2002, 16 patients with rheumatoid arthritis and failed total ankle prosthesis underwent tibiotalocalcaneal fusion using retrograde intramedullary nails. The functional outcome was evaluated using the AOFAS scoring system and the patients were also asked about their satisfaction. Radiographs were obtained for all 16 cases minimum 1 year after surgery.<br/><br>
<br/><br>
Thirteen of the 16 ankles were considered radiographically healed, 11 at the first attempt and two after repeat arthrodesis. The median AOFAS pain and total scores were 40 and 58, respectively. Two deep infections resulted in a fused ankle after antibiotic treatment.<br/><br>
<br/><br>
In patients with rheumatoid arthritis and a failed total ankle prosthesis, tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail resulted in primary healing in two-thirds of the cases. Only two patients with a fused ankle were dissatisfied with the final result. The procedure is recommended in selected cases as an alternative to external fixation.},
  author       = {Anderson, Thomas and Rydholm, Urban and Besjakov, Jack and Montgomery, Fredrik and Carlsson, Åke},
  keyword      = {Intramedullary nail,Arthroplasty,Arthrodesis,Ankle},
  language     = {eng},
  number       = {3},
  pages        = {143--147},
  publisher    = {Elsevier},
  series       = {Foot & Ankle Surgery},
  title        = {Tibiotalocalcaneal fusion using retrograde intramedullary nails as a salvage procedure for failed total ankle prostheses. Sixteen cases primarily operated on due to rheumaoid arthritis},
  url          = {http://dx.doi.org/10.1016/j.fas.2005.03.003},
  volume       = {11},
  year         = {2005},
}