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.
Objective:
To evaluate the results of arthrodesis with Ilizarov fixator with tibiocalcaneana.
Methods:
We studied 12 patients with a mean age of 35 years, and 9 (75%) men and 3 (25%) women, underwent arthrodesis tibiocalcaneana. The diagnosis in the preoperative talus infection. We used a modified surgical technique Reckling (6 patients) and the Ilizarov technique, modified by Catagni (6 patients). Patients were evaluated by the AOFAS scale research and patient satisfaction.
Results:
Union was achieved in 100% of cases. The mean time to healing was 6 months (range 4-12 months) and mean duration of external fixator removal was 9 months (range 4-13 months). Stretching was performed in 6 patients with an average of 4 cm. The follow-up with Vancomycin lasted around 6 months. The average AOFAS score was 72.5 points (range 57 to 89 points). All patients were satisfied with the result.
Conclusion:
Despite the small number of cases, arthrodesis tibiocalcaneana seemed to be a good solution for cases of complex pathologies of the talus, such as infection, resulting in bone healing, pain relief and patient satisfaction.
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