Tibiotalocalcaneal Arthrodesis By Using Proximal Humeral Locking Plate

Özer, Devrim

doi:10.3944/aott.2016.15.0083

Cited by 5 publications

(9 citation statements)

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“…months, achieved full bone union in more than 80% of operated patients who had tibiotalocalcaneal arthrodesis using an intramedullary nail with additional fibular transplantation [6]. In turn, Ozer et al, performing the TTCA procedure using the AO method with the proximal humeral locking plate achieved bone union in 7 (87.5%) operated patients, 87% of the examined group were women [5].…”

Section: Tablementioning

confidence: 97%

“…Obtaining bone union at the distal end of the tibia enables patients to move independently, thus allowing to dispense with the wheelchair. The most common complications of TTCA include: shortening of the operated limb, persistent infection of the surgical wound (SSI -surgical side infection), lack of bone union and further persistence of pain in the operated area [4,5]. Apart from the surgeon's skills, the independent factors of success of the applied method of surgical treatment include: reduced bone density due to osteoporosis and additional accompanying diseases such as diabetes, rheumatiod arthritis -RA, atherosclerosis and atherosclerosis obliterans (AO), causing impaired limb blood supply [6].…”

Section: Introductionmentioning

confidence: 99%

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Tibiotalocalcaneal arthrodesis in osteoarthritis deformation of ankle and subtalar joint – evaluation of treatment results

Stołtny

Dugiełło

Pasek

et al. 2020

Preprint

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Background Tibiotalocalcaneal arthrodesis (TTCA) is an increasingly used method of stiffening the ankle and subtalar joints in advanced degenerative deformities. Material and methods The study group consisted of 19 men who were subjected to intramedullary and intra-osseous arthrodesis using an intramedullary nail. The average age of patients was 46 years (19–68). The main indication for surgical treatment was post-traumatic arthrosis 11 (58%). In the studied group of patients, clinical condition was assessed using the AOFAS classification, quality of life using the SF-12 scale, and assessment of pain intensity using the VAS scale. The above parameters were evaluated before surgery in the early (under 2 years), intermediate (from 2–5 years) and late (over 5 years) postoperative period. Results Analysis of the results showed that the assessed clinical condition on the AOFAS scale improved from an average of 20.6 points before TTCA to 63.5 points after the procedure. The result was statistically significant (p < 0.0001). Analyzing the results obtained using the SF-12 quality of life scale, a statistically significant increase was found. In the physical sphere of quality of life PCS-12 increased from 26.5 points to 44.2 points (p = 0.0004) and in the mental sphere of quality of life MCS-12 from 46.1 points to 52.6 points (p = 0.030). The intensity of pain ailments, assessed in the VAS scale, decreased in all three periods of postoperative observation (in the early period p < 0.05, in the intermediate period p = 0.23, and in the late period p < 0.05), with the strongest analgesic effect (reduction of pain intensity by 4.3 points on the VAS scale) was observed in the early post-operative follow-up period. Conclusions Tibiotalocalcaneal arthrodesis using an intramedullary nail causes a significant improvement in the clinical condition according to the AOFAS classification, enabling most patients to move independently, a significant improvement in the physical and mental quality of life assessed in the SF-12 scale and a significant reduction in the intensity of pain ailments assessed in the VAS scale, especially in the early postoperative period.

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Section: Tablementioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Tibiotalocalcaneal arthrodesis in osteoarthritis deformation of ankle and subtalar joint – evaluation of treatment results

Stołtny

Dugiełło

Pasek

et al. 2020

Preprint

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“…Obtaining bone union at the distal end of the tibia enables patients to move independently, thus allowing to dispense with the wheelchair. The most common complications of TTCA include: shortening of the operated limb, persistent infection of the surgical wound (SSI -surgical side infection), lack of bone union and further persistence of pain in the operated area [4,5]. Apart from the surgeon's skills, the independent factors of success of the applied method of surgical treatment include: reduced bone density due to osteoporosis and additional accompanying diseases such as diabetes, RA, atherosclerosis and atherosclerosis obliterans (AO), causing impaired limb blood supply [6].…”

Section: Introductionmentioning

confidence: 99%

“…However, almost 80% of operated patients moved without the orthopedic equipment and were able to cover a distance of over 600 meters on their own.Lee et al, in a group of 20 patients after performing tibiotalocalcaneal arthrodesis, obtained an improvement in the functional state of the ankle joint according to the AOFAS classi cation from an average of 54 to 76 points in the observation period of 28 months[10]. Whereas Ozer et al using tibiotalocalcaneal arthrodesis with the AO method (proximal humerus) in a group of 8 patients obtained the functional state of this joint at an average level of 60 points in the AOFAS classi cation over an average follow-up of 2.5 years[5]. The authors of this work suggest that performing arthrodesis with a proximal brachial plate may be an alternative to intramedullary arthrodesis.Muckley et al evaluated, according to the AOFAS classi cation, a group of 55 patients who had 59 tibiotalocalcaneal arthrodesis using an intramedullary nail, obtaining 66.4 points during the follow-up period of 66 months[12].…”

mentioning

confidence: 98%

Tibiotalocalcaneal arthrodesis in osteoarthritis deformation of ankle and subtalar joint – evaluation of treatment results

Stołtny

Dugiełło²,

Pasek

et al. 2020

Preprint

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Background Tibiotalocalcaneal arthrodesis (TTCA) is an increasingly used method of stiffening the ankle and subtalar joints in advanced degenerative deformities. Methods The study group consisted of 19 men who were subjected to intramedullary and intra-osseous arthrodesis using an intramedullary nail. The average age of patients was 46 years (19–68). The main indication for surgical treatment was post-traumatic arthrosis 11 (58%). In the studied group of patients, clinical condition was assessed using the AOFAS classification, quality of life using the SF-12 scale, and assessment of pain intensity using the VAS scale. The above parameters were evaluated before surgery in the early (under 2 years), intermediate (from 2–5 years) and late (over 5 years) postoperative period. Results Analysis of the results showed that the assessed clinical condition on the AOFAS scale improved from an average of 20.6 points before TTCA to 63.5 points after the procedure. The result was statistically significant (p < 0.0001). Analyzing the results obtained using the SF-12 quality of life scale, a statistically significant increase was found. In the physical sphere of quality of life PCS-12 increased from 26.5 points to 44.2 points (p = 0.0004) and in the mental sphere of quality of life MCS-12 from 46.1 points to 52.6 points (p = 0.030). The intensity of pain ailments, assessed in the VAS scale, decreased in all three periods of postoperative observation (in the early period p < 0.05, in the intermediate period p = 0.23, and in the late period p < 0.05), with the strongest analgesic effect (reduction of pain intensity by 4.3 points on the VAS scale) was observed in the early post-operative follow-up period. Conclusions Tibiotalocalcaneal arthrodesis using an intramedullary nail causes a significant improvement in the clinical condition according to the AOFAS classification, enabling most patients to move independently, a significant improvement in the physical and mental quality of life assessed in the SF-12 scale and a significant reduction in the intensity of pain ailments assessed in the VAS scale, especially in the early postoperative period.

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“…[4][5][6] Recent studies have focused on a variety of procedural and equipment modifications to improve the outcomes of TTC arthrodesis and avoid potential major amputation of the lower extremity, and high fusion rates have been reported for cases with limited bony defects not requiring structural allograft. 1,2,5,[7][8][9][10][11][12] Substantial bone loss in the hindfoot and ankle, however, presents a much more challenging task for effective reconstruction. 13,14 Failed total ankle arthroplasty (TAA), talar osteonecrosis, Charcot neuroarthropathy, neuromuscular disease, osteomyelitis, and posttraumatic osteoarthritis all present as common potential causes of extensive bone deficits.…”

Section: Introductionmentioning

confidence: 99%

Midterm Results of Radiographic and Functional Outcomes After Tibiotalocalcaneal Arthrodesis With Bulk Femoral Head Allograft

Rogero

Tsai

Fuchs

et al. 2019

Foot & Ankle Specialist

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Background: Tibiotalocalcaneal (TTC) arthrodesis implementing adjunctive allografts is a method of limb salvage for patients with complex hindfoot osseous deficits, though outcome results are limited. The purposes of this study were to assess functional and radiographic outcomes after TTC arthrodesis with femoral head allograft and retrospectively identify prognostic factors. Methods: The authors reviewed 24 TTC arthrodesis procedures with bulk femoral head allografts performed by a single surgeon from 2004 to 2016. Radiographic union at the ankle and subtalar joints along with stability of the allograft were assessed. Patients who had clinically successful arthrodeses were contacted to score the Foot and Ankle Ability Measure—Activities of Daily Living (FAAM-ADL) questionnaire, Visual Analog Scale (VAS) for pain, and Short Form-12 (SF-12) at a mean of 58.0 months (range, 28-102) postoperatively. Results: Complete radiographic union of involved joints was achieved in 15 patients (63%) and in 75% (36/48) of all joints; 21 ankles (88%) were assessed to be radiographically stable at final follow-up. Three patients (13%) underwent revision arthrodesis at a mean of 18.9 months postoperatively, and 21 patients (88%) did not require additional surgery as of final follow-up. Patients significantly improved to a mean FAAM-ADL score of 71.5 from 36.3 (P < .001). The mean VAS for pain significantly improved from 77.2 to 32.9 (P < .001). Male sex (P = .08) and a lateral operative approach (P = .03) both resulted in worse outcomes. Conclusion: Use of a femoral head allograft with TTC arthrodesis can offer improved functional scores and sustained radiographic outcomes. Level of Evidence: Level IV: Case series

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Tibiotalocalcaneal Arthrodesis By Using Proximal Humeral Locking Plate

Cited by 5 publications

References 0 publications

Tibiotalocalcaneal arthrodesis in osteoarthritis deformation of ankle and subtalar joint – evaluation of treatment results

Tibiotalocalcaneal arthrodesis in osteoarthritis deformation of ankle and subtalar joint – evaluation of treatment results

Tibiotalocalcaneal arthrodesis in osteoarthritis deformation of ankle and subtalar joint – evaluation of treatment results

Midterm Results of Radiographic and Functional Outcomes After Tibiotalocalcaneal Arthrodesis With Bulk Femoral Head Allograft

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