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[Hindfoot arthrodesis]
1Orthopädische Klinik, Klinik II im Annastift e. V., Medizinische Hochschule Hannover.
Der Orthopade
|April 1, 1996
Summary
Hindfoot arthrodesis offers symptomatic relief for various foot conditions. However, achieving complete bony union requires stable internal fixation due to common issues with insufficient stabilization.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Reconstruction
Background:
- Hindfoot arthrodesis addresses conditions like congenital deformities, post-traumatic arthritis, and rheumatoid arthritis.
- Common procedures include triple arthrodesis and combined subtalar and calcaneocuboid joint fusions.
Purpose of the Study:
- To evaluate the long-term outcomes of hindfoot arthrodesis.
- To identify factors influencing successful bony union and symptom improvement.
Main Methods:
- A follow-up study examined 52 hindfoot arthrodesis cases after an average of 11.1 years.
- Various fixation methods were employed, with a focus on screw or bone staple fixation.
Main Results:
- Most patients experienced good symptomatic improvement.
- Complete bony union was achieved in only 47% of cases, often due to inadequate stabilization.
- Pseudarthrosis rates were comparable to existing literature.
Conclusions:
- Stable internal fixation, particularly with screws or bone staples, is crucial for successful hindfoot arthrodesis.
- Improved stabilization techniques may enhance bony union rates and long-term outcomes.