Arthrodesis after failed total ankle replacement

被引:86
作者
Culpan, P. [1 ]
Le Strat, V. [1 ]
Piriou, P. [1 ]
Judet, T. [1 ]
机构
[1] Hop Raymond Poincare, Dept Orthopaed Surg & Traumatol, F-92380 Garches, Paris, France
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2007年 / 89B卷 / 09期
关键词
D O I
10.1302/0301-620X.89B9.19108
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We present a series of 16 patients treated between 1993 and 2006 who had a failed total ankle replacement converted to an arthrodesis using bone grafting with internal fixation. We used tricortical autograft from the iliac crest to preserve the height of the ankle, the malleoli and the subtalar joint. A successful arthrodesis was achieved at a mean of three months (1.5 to 4.5) in all patients except one, with rheumatoid arthritis and severe bone loss, who developed a nonunion and required further fixation with an intramedullary nail at one year after surgery, before obtaining satisfactory fusion. The post-operative American Orthopaedic Foot and Ankle Society score improved to a mean of 70 (41 to 87) with good patient satisfaction. From this series and an extensive review of the literature we have found that rates of fusion after failed total ankle replacement in patients with degenerative arthritis are high. We recommend our method of arthrodesis in this group of patients. A higher rate of nonunion is associated with rheumatoid arthritis which should be treated differently.
引用
收藏
页码:1178 / 1183
页数:6
相关论文
共 24 条
[1]
Uncemented STAR total ankle prostheses -: Three to eight-year follow-up of fifty-one consecutive ankles [J].
Anderson, T ;
Montgomery, F ;
Carlsson, Å .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (07) :1321-1329
[2]
Anderson T, 2005, FOOT ANKLE SURG, V11, P43
[3]
TOTAL ANKLE ARTHROPLASTY - A LONG-TERM REVIEW OF THE LONDON HOSPITAL EXPERIENCE [J].
BOLTONMAGGS, BG ;
SUDLOW, RA ;
FREEMAN, MAR .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1985, 67 (05) :785-790
[4]
Midterm results of the Salto Total Ankle prosthesis [J].
Bonnin, M ;
Judet, T ;
Colombier, JA ;
Buscayret, F ;
Graveleau, N ;
Piriou, P .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2004, (424) :6-18
[5]
Bruggeman NB., 2002, TECHN FOOT ANKLE SUR, V1, P60, DOI [10.1097/00132587-200209000-00009, DOI 10.1097/00132587-200209000-00009]
[6]
THE OPTIMUM POSITION OF ARTHRODESIS OF THE ANKLE - A GAIT STUDY OF THE KNEE AND ANKLE [J].
BUCK, P ;
MORREY, BF ;
CHAO, EYS .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1987, 69A (07) :1052-1062
[7]
A meta-analysis of outcome rating scales in foot and ankle surgery: Is there a valid, reliable, and responsive system? [J].
Button, G ;
Pinney, S .
FOOT & ANKLE INTERNATIONAL, 2004, 25 (08) :521-525
[8]
ARTHRODESIS OF ANKLE - DEEP AUTOGENOUS INLAY GRAFTS WITH MAXIMUM CANCELLOUS BONE APPOSITION [J].
CAMPBELL, CJ ;
RINEHART, WT ;
KALENAK, A .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1974, A 56 (01) :63-70
[9]
Arthrodesis of the ankle secondary to replacement [J].
Carlsson, AS ;
Montgomery, F ;
Besjakov, J .
FOOT & ANKLE INTERNATIONAL, 1998, 19 (04) :240-245
[10]
CHIUNARD E, 1963, J BONE JOINT SURG AM, V45, P481