Tibiotarsal compression arthrodesis using a lateral locking plate

Revista Brasileira de Ortopedia

Michael J. Coughlin²  Caio Nery¹  Daniel Baumfeld¹  James Jastifer¹ 

[1] ,International Federation of Foot and Ankle Societies

关键词: Arthrodesis;    Ankle Injuries;    Bone Plates;    Artrodese;    Traumatismos do Tornozelo;    Placas Ósseas;   

DOI  :  10.1590/S0102-36162012000500012

来源: SciELO

【 摘 要 】

OBJECTIVES: Tibiotalar (TT) arthrodesis is still a very important option in the treatment of primary or post-traumatic arthritis of the ankle but persists the controversy regarding the optimal method for the fixation of the arthrodesis site. No matter the implant used, the goal is to obtain a solid, healthy, pain-free fusion. The purpose of the current study is to present the preliminary results of a novel laterally based tibiotalar compression arthrodesis system using a locked plate. METHODS: Thirteen consecutive patients with tibiotalar arthritis were submitted to an arthrodesis using a new lateral plating system. The average age was 59.7 years (range 36~72); nine patients were male and four female. Using a cutting guide, the remaining articular surfaces of the tibia and talus were removed. A compression device was applied to avoid malalignment of the ankle and a precontoured lateral locking plate was used to achieve the joint fusion. RESULTS: Both the AOFAS ankle-hindfoot score and the VAS score improved with the surgery. All patients' ankles fused by 6 months. In all patients we found a very good alignment in the sagittal, coronal and transverse planes. CONCLUSION: We believe that a combination of a bilateral compression, contoured bony cuts, and lateral locked plating offers a novel, accurate and useful technique for ankle arthrodesis.

【 授权许可】

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