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[Post-traumatic hindfoot reconstruction--principles and selected examples].

K Klaue1

  • 1Universitätsklinik für orthopädische Chirurgie, Inselspital, Bern.

Therapeutische Umschau. Revue Therapeutique
|December 1, 1991
PubMed
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Fractures often cause hindfoot pain and alignment issues. This study explores reorienting arthrodesis with bone grafts and internal fixation to restore foot structure and enable early weight-bearing.

Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction
  • Trauma surgery

Background:

  • Hindfoot fractures are a common cause of painful static problems, second only to rheumatoid diseases.
  • Malalignment from hindfoot fractures can lead to secondary degeneration of adjacent joints like the ankle, subtalar, and midtarsal joints, even if not directly fractured.
  • Restoring normal foot morphology is crucial for alleviating pain and preventing further joint deterioration.

Purpose of the Study:

  • To evaluate the efficacy of reorienting arthrodesis in restoring normal hindfoot morphology after fractures.
  • To assess the use of stable internal fixation with screws and cortico-cancellous autologous bone grafts for achieving stable fusions.
  • To determine if this surgical technique allows for early partial weight-bearing.

Main Methods:

Related Experiment Videos

  • The study focuses on reorienting arthrodesis procedures for hindfoot fractures.
  • Stable internal fixation is achieved using screws.
  • Cortico-cancellous autologous bone grafts are utilized to promote bone healing and fusion.
  • Three surgical approaches (antero-medial, lateral, and postero-lateral) can be employed individually or in combination.

Main Results:

  • The described surgical technique aims to restore normal foot morphology and alignment.
  • Stable internal fixation and bone grafting facilitate bone fusion.
  • The procedure is designed to permit early partial weight-bearing, potentially improving patient recovery.
  • Successful reorientation of arthrodesis addresses malalignment issues caused by hindfoot fractures.

Conclusions:

  • Reorienting arthrodesis using stable internal fixation and autologous bone grafts is a viable surgical option for hindfoot fractures.
  • This approach can effectively restore normal foot morphology and alignment.
  • The technique allows for early partial weight-bearing, contributing to improved functional outcomes in patients with hindfoot fractures.