Retrograde nail for tibiotalocalcaneal arthrodesis as a limb salvage procedure for open distal tibia and talus fractures with severe bone loss.
J Foot Ankle Surg
; 51(5): 675-9, 2012.
Article
em En
| MEDLINE
| ID: mdl-22621859
ABSTRACT
The treatment of complex fractures of the distal tibia, ankle, and talus with soft tissue damage, bone loss, and nonreconstructable joints for which the optimal timing for reduction and fixation has been missed is challenging. In such cases primary arthrodesis might be a treatment option. We report a series of multi-injured patients with severe soft tissue damage and bone loss, who were treated with a retrograde tibiotalocalcaneal arthrodesis nail as a minimally invasive treatment option for limb salvage. After a median follow-up of 5.4 years, all patients returned to their former profession. The ankle and bone fusion was complete, with moderate functional results and quality of life. Calcaneotibial arthrodesis using a retrograde nail is a good treatment option for nonreconstructable fractures of the ankle joint with severe bone loss and poor soft tissue quality in selected patients with multiple injuries, in particular, those involving both lower extremities, as a salvage procedure.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artrodese
/
Fraturas da Tíbia
/
Tálus
/
Salvamento de Membro
/
Fixação Intramedular de Fraturas
/
Fraturas Expostas
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Foot Ankle Surg
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Alemanha