Tibiocalcaneal arthrodesis using an Ilizarov fixator.
Alessandro Marcondes Leite1, Helder Mattos Menezes1, Igor E Castro Aquino1
1Resident Physician in Orthopedics and Traumatology, Emergency Hospital of Goiânia, Goiânia, Goiás, Brazil.
Revista Brasileira De Ortopedia
|July 16, 2019
Summary
Arthrodesis tibiocalcaneana using the Ilizarov fixator effectively treated complex talus pathologies, including infection, leading to bone healing and patient satisfaction.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
- Trauma Surgery
Background:
- Complex talus pathologies, such as infection, present significant treatment challenges.
- Arthrodesis is a surgical procedure to fuse bones, often used for severe joint damage or deformity.
- The Ilizarov fixator is an external device used for bone stabilization and reconstruction.
Purpose of the Study:
- To evaluate the efficacy of arthrodesis with an Ilizarov fixator for tibiocalcaneana.
- To assess outcomes in patients with complex talus pathologies, specifically infection.
Main Methods:
- Twelve patients with talus infection underwent tibiocalcaneana arthrodesis.
- Surgical techniques included modified Reckling (6 patients) and modified Catagni Ilizarov (6 patients).
- Outcomes were assessed using the AOFAS scale and patient satisfaction surveys.
Main Results:
- Achieved 100% union rate with a mean healing time of 6 months.
- Mean external fixator duration was 9 months; 6 patients underwent lengthening (average 4 cm).
- Average AOFAS score was 72.5, with all patients reporting satisfaction.
Conclusions:
- Tibiocalcaneana arthrodesis with the Ilizarov fixator is a viable solution for complex talus pathologies like infection.
- The procedure resulted in successful bone healing, pain reduction, and high patient satisfaction.
- Despite a small sample size, the findings support this technique for challenging foot and ankle cases.
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