2019
DOI: 10.1016/j.fas.2018.10.006
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Comparison of arthroscopic to open tibiotalocalcaneal arthrodesis in high-risk patients

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Cited by 29 publications
(48 citation statements)
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“…Subtalar eklemde ve ayak bileğinde dejeneratif değişiklikleri olan hastalara KABA önerilmektedir. 22,23 Biyomekanik bir çalışmada, kalkaneotalotibial çivi ile yapılan artrodezin vida ile yapılan artrodeze göre daha stabil bir fiksasyon yöntemi olduğu ve yüksek aksiyel yüklenmelere daha fazla dayanabildiği gösterilmiştir. 24 Kalkaneotalotibial çivi ile artrodez yapılan hastalara eş zamanlı subtalar eklem debritmanı yapılması konusu literatürde tartışmalıdır.…”
Section: Discussionunclassified
“…Subtalar eklemde ve ayak bileğinde dejeneratif değişiklikleri olan hastalara KABA önerilmektedir. 22,23 Biyomekanik bir çalışmada, kalkaneotalotibial çivi ile yapılan artrodezin vida ile yapılan artrodeze göre daha stabil bir fiksasyon yöntemi olduğu ve yüksek aksiyel yüklenmelere daha fazla dayanabildiği gösterilmiştir. 24 Kalkaneotalotibial çivi ile artrodez yapılan hastalara eş zamanlı subtalar eklem debritmanı yapılması konusu literatürde tartışmalıdır.…”
Section: Discussionunclassified
“…Comparison of the distance that can be covered by the patients themselves, before and after tibiotalocalcaneal arthrodesis using an intramedullary nail. TTCA in combination with arthroscopic resection of damaged articular surfaces of the ankle and subtalar joints carries a lower number of septic complications [13]. In the available literature we can nd examples of papers con rming the occurrence of a lower SSI frequency when TTCA is performed under arthroscopic control [9,13].…”
Section: Tablementioning
confidence: 99%
“…On the other hand, arthrodesis performed under arthroscopic control is associated with a greater likelihood of lack of bone union.Baumbach et al, comparing the results of arthroscopic arthrodesis performed by the open method in high-risk patients (patients with diabetes, limb ischemia and RA), showed that the frequency of achieving normal bone union of 75% and 67%, respectively, did not differ statistically significantly in both groups of patients. The incidence of complications in the group of patients treated with the open method was 63%, mainly infections of the operated area (80%), while in patients treated by the arthroscopic method, the incidence of complications was almost half lower (33%) and in all cases it was the lack of bone union[13]. Hence, the choice of arthroscopic arthrodesis should be considered in cases of slight deformation, where it is enough to perform a resection of the damaged surface of articular cartilage without the need for extensive correction.In the group of examined patients, who had tibiocalcaneal arthrodesis using an intramedullary nail, complete bone union was found in 16 (84%) patients.…”
mentioning
confidence: 92%
“…In turn, Brodsky et al in the material of 30 detachable stiffeners using an intramedullary nail obtained, in the average observation period over 2 years, a statistically significant increase according to the AOFAS classification with an average of 29.7 points up to 74.3 points. Such significant clinical improvement in the examined group of patients may result from proper correction of joint deformation conducted parallel to arthrodesis [11].TTCA in combination with arthroscopic resection of damaged articular surfaces of the ankle and subtalar joints carries a lower number of septic complications[13]. In the available literature we can find examples of papers confirming the occurrence of a lower SSI frequency when TTCA is performed under arthroscopic control[9,13].…”
mentioning
confidence: 99%
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