Institutional Costs Associated with Ankle Fusion Nonunion:

Foot & Ankle Orthopaedics

OliverGagné¹ 

关键词: Ankle;    Fusion;    Cost;    Nonunion;    Revision;   

DOI  :  10.1177/2473011418S00225

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle ArthritisIntroduction/Purpose:Ankle arthrodesis is the most favored surgical treatment for several tibiotalar pathologies. Nonunion requiring revision occurs in 5.7% - 6.5% of patients. Nonunion is a challenging surgical complication and bone graft substitutes are costly. This study aimed to summarize all institutional expenditures related to ankle fusion nonunion needing revision, presuming that cost and skin-to-skin time would exceed that of the index surgery.Methods:Reviewing electronic charts from a foot and ankle center, a patient list with two or more entries for tibiocalcaneal, pantalar and tibiotalar fusions was generated. Out of 44 cases found, 21 patients had bilateral surgery and were excluded. Three had TAR or surgery in the periphery as index surgery; four had revision not for nonunion.Demographic factors and skin-to-skin time of the 16 remaining patients were compiled. Supplemental clinic visits and investigations were included either after CT to assess union, or 365 days post...

【 授权许可】

CC BY