[Iliac crest bone graft with vascular pedicle for treatment of fibrous ankylosis of the ankle].
Oper Orthop Traumatol
; 17(4-5): 543-53, 2005 Oct.
Article
em En, De
| MEDLINE
| ID: mdl-16331387
ABSTRACT
THE PROBLEM:
63-year-old man with a painful fibrous ankylosis of the left ankle in spite of two surgical attempts at arthrodesis. The subtalar joint had been fused 3 years previously during a reconstruction of the posterior tibial tendon. The severe, activity-related pain was partially due to a reflex sympathetic dystrophy. Wearing of orthopedic shoes did not relieve the symptoms; a below-knee amputation had been considered. THE SOLUTION Tibiotalar arthrodesis in functional position with a free pedicled iliac bone graft. SURGICAL TECHNIQUE Microsurgical harvesting of a pedicled iliac bone graft. Debridement of the fibrous ankylosis and transplantation of the bone graft into an anterior tibiotalar groove.RESULT:
Bony fusion within 3 months. Pain-free weight bearing. The favorable outcome persisted after 1 year.
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Base de dados:
MEDLINE
Assunto principal:
Artrodese
/
Tíbia
/
Tálus
/
Artralgia
/
Ílio
/
Anquilose
/
Articulação do Tornozelo
Limite:
Humans
/
Male
/
Middle aged
Idioma:
De
/
En
Ano de publicação:
2005