医学
关节融合术
距下关节
外科
脚踝
缺血性坏死
跟骨
踝关节融合术
骨科手术
足踝手术
作者
Travis J. Dekker,Manuel J. Pellegrini,Adam Schiff,Mark E. Easley,James K. DeOrio,James A. Nunley,Samuel B. Adams
出处
期刊:Journal of surgical orthopaedic advances
[Data Trace Publishing Company]
日期:2019-01-01
卷期号:28 (2): 132-136
被引量:2
摘要
Isolated subtalar arthrodesis has been attempted in talar avascular necrosis (AVN) patients to preserve the tibiotalar joint and potential revascularization. This article reports the efficacy of isolated subtalar arthrodesis in the setting of AVN. A retrospective review of subtalar arthrodeses was performed on a cohort of 12 patients with talar AVN who underwent subtalar arthrodesis. The primary outcome was radiographic fusion with secondary outcomes of subsequent procedures, recurrent pain, and perioperative complications. Radiographic fusion of subtalar arthrodesis occurred in 12 of 12 patients. Five of six patients with traumatic etiology went on to have secondary procedures. One of six patients with atraumatic etiology underwent a secondary procedure for advancement of tibiotalar arthritis. In the setting of atraumatic talar AVN, this small cohort demonstrates that isolated subtalar arthrodesis is a safe and reliable procedure with high fusion rates and low need for secondary procedures. (Journal of Surgical Orthopaedic Advances 28(2):132-136, 2019).
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