A Retrospective Analysis Evaluating Allogeneic Cancellous Bone Sponge for Foot and Ankle Arthrodesis

Brigido, Stephen A.; Bleazey, Scott T.; Protzman, Nicole M.; Schoenhaus, Harold D.

doi:10.1053/j.jfas.2012.10.002

Cited by 7 publications

(7 citation statements)

References 18 publications

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“…Nonunion of the subtalar arthrodesis is the key parameter for unsatisfactory functional outcome. 3,40 Nevertheless, arthritis also remains an element influencing subjective outcome and functional satisfaction of the patients. 1 A quarter of our patients showed a worsening of arthritis of the ankle, and 15% had a radiologic evolution of the arthritis of the TN joint.…”

Section: Discussionmentioning

confidence: 99%

“…Autologous cortico-cancellous bone grafting remains indispensable. 3 Autograft harvested from a patient’s iliac crest constitutes the current standard of care for bone loss and revisions in orthopedic surgery. 3 Autologous bone is an ideal graft because it contains both osteogenic cells and osteoinductive factors contained within an osteoconductive matrix.…”

Section: Discussionmentioning

confidence: 99%

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Midterm Outcome of Subtalar Joint Revision Arthrodesis

Chraim

Recheis²,

Alrabai

et al. 2021

Foot Ankle Int.

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Background: The outcomes of revision subtalar arthrodesis have received relatively little focus in research compared with primary subtalar arthrodesis outcomes. This study aimed to assess the midterm clinical and radiologic results of subtalar joint revision arthrodesis and to analyze the risk factors that might influence the outcome of this procedure. Methods: We performed a retrospective review of 20 patients after subtalar joint revision arthrodesis for malunion, using interposition of iliac crest bone graft. The mean age was 55.75 years and the average follow-up lasted for 48.93 months. Eighty-five percent of the patients had at least 1 risk factor identified prior to revision. Patients’ satisfaction and functional outcomes were evaluated with the American Orthopaedic Foot & Ankle Society Scale (AOFAS), the Foot and Ankle Outcome Score (FAOS), the Foot Function Index (FFI), and dynamic pedobarography. Results: A fusion rate of 80% was recorded whereas 20% of the cases ended with a painful pseudarthrosis requiring additional surgery. Pedobarographic measurements demonstrated that loading has a propensity toward the lateral column, but no substantial effect on the gait of patients. In this group, the following patient-reported outcomes were observed: 70% of the patients were satisfied, 20% of the patients found the result fair, and 10% were not satisfied with the results. Compared with the preoperative evaluation, postoperative functional scores showed significant improvement on the FOAS, AOFAS, and FFI outcome scales. Conclusions: Revision arthrodesis of the subtalar joint remains a challenging issue with a relatively high rate of nonunion, especially in a population of patients with multiple risk factors. Level of Evidence: Level IV, retrospective case series.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Midterm Outcome of Subtalar Joint Revision Arthrodesis

Chraim

Recheis²,

Alrabai

et al. 2021

Foot Ankle Int.

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“…The per protocol current study of 92 subjects (153 arthrodeses) is substantially larger than other published foot and ankle fusion studies that used allograft or synthetic bone void filler, which ranged from 10 to 47 subjects (10-80 joints). 2,5,13,29,31,32 CT images provide a higher resolution of the bony fusion than plain films and are preferred among radiologists and surgeons because they are more accurate and reliable than plain radiographs. 16,33 Additionally, radiological assessment by an observer blinded to the clinical result is favored because assessment by the treating surgeon is considered unreliable.…”

Section: Discussionmentioning

confidence: 99%

Prospective, Multicenter Evaluation of Allogeneic Bone Matrix Containing Viable Osteogenic Cells in Foot and/or Ankle Arthrodesis

et al. 2015

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“…There was unified opinion about conventional bone grafting. Arthroscopic ankle debridement and fusion technologies in recent years demonstrate a good result, so we can believe that as long as good apposition was obtained among cancellous bone surfaces, bone grafting was not necessarily required 17) . Perlman and Thordarson 18) reported the non-fusion rate of 67 patients to be 28% (19 cases).…”

Section: Discussionmentioning

confidence: 99%

Complications of Ankle Fusion for Treating Late Sequelae of Ankle Injuries

Wang

Zhang

et al. 2016

J. Hard Tissue Biology.

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In this study, we aimed to retrospectively evaluate the complications of ankle fusion for treating late sequelae of ankle injuries (LS-AI). We retrospectively analyzed patients with LS-AI who were treated with ankle fusion in our hospital between January 1997 and June 2012; we summarized the surgical methods, internal fixation selection, follow-up time, preoperative and follow-up-end American Orthopaedic Foot & Ankle Society (AOFAS) score, and complications. A total of 48 patients were analyzed, including 14 patients with open tibial and fibular fracture-induced lower limb compartment syndrome sequelae, 33 patients with ankle and Pilon fracture-caused traumatic ankle arthritis, and 1 patient with ankle amputation injury. The average follow-up time was 49.1 months. The incidence rate of complications was 29.17 %, including 4 cases of wound infection, 3 cases of delayed union, 1 case of nonunion, 2 cases of malunion, 2 cases of nerve injury, and 2 cases of internal fixation fracture. The average preoperative AOFAS score was 44.3 points, and the average postoperative score was 81.2 points (P<0.05). Ankle fusion is still the most effective method for treating late complications of ankle injuries.

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A Retrospective Analysis Evaluating Allogeneic Cancellous Bone Sponge for Foot and Ankle Arthrodesis

Cited by 7 publications

References 18 publications

Midterm Outcome of Subtalar Joint Revision Arthrodesis

Midterm Outcome of Subtalar Joint Revision Arthrodesis

Prospective, Multicenter Evaluation of Allogeneic Bone Matrix Containing Viable Osteogenic Cells in Foot and/or Ankle Arthrodesis

Complications of Ankle Fusion for Treating Late Sequelae of Ankle Injuries

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