![]() No patients required revision surgery for malunion. ![]() ![]() Radiographic and clinical analysis confirmed a plantigrade foot without malalignment. The average AOFAS ankle-hindfoot score was 83 with 88% having an excellent or good result. One patient had a nonunion at the metaphyseal fracture, which healed with revision surgery. Clinical evaluation included chart review, interview, the AOFAS ankle-hindfoot score, and radiographic evaluation.Īll of the ankle arthrodeses healed at an average of 4.4 months (range, 3-5 months). Ring external fixation was used in nine ankles with concomitant tibia fracture or in instances requiring additional fixation. Anatomically designed anterior ankle arthrodesis plates were used in 10 ankles. Average patient age was 58 years, and minimum followup was 6 months (average, 14 months range, 6-22 months). Eleven patients (12 ankles) with severely comminuted high-energy tibial pilon fractures were retrospectively reviewed after surgical treatment with primary ankle arthrodesis and fracture reduction. ![]() (1) How long does it take the fracture to heal and the arthrodesis to fuse when primary ankle arthrodesis is a component of initial fracture management? (2) How do these patients fare clinically in terms of modified American Orthopaedic Foot and Ankle Society (AOFAS) scores and activity levels after this treatment? (3) Does primary ankle arthrodesis heal in an acceptable position when anterior ankle arthrodesis plates are used?ĭuring a 2-year period, we performed open fracture reduction and internal fixation in 63 patients. However, few reports discuss the option of immediate arthrodesis, which may be a potentially viable approach to accelerate overall recovery in patients with severe fracture patterns. Posttraumatic arthritis and prolonged recovery are typical after a severely comminuted tibial pilon fracture, and ankle arthrodesis is a common salvage procedure. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |