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Titre : | Tibiotalocalcaneal Arthrodesis in Severe Hindfoot Deformities (2022) |
Auteurs : | Pilar Martínez-de-Albornoz ; Manuel Monteagudo |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 27, n° 4, Décembre 2022) |
Article en page(s) : | p. 847-866 |
Note générale : | https://doi.org/10.1016/j.fcl.2022.08.008 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Allogreffes ; Arthrite ; Arthrodèse ; Cheville ; Deformation ; Thérapeutique |
Note de contenu : |
Many patients with end-stage ankle/hindfoot arthritis and severe deformity present with previous sequelae (nonunion, malunion, broken implants, vascular deficiencies, skin problems).
Surgical planning needs to be very detailed and thorough with a special focus on bone loss after debridement of non-healthy tissue and removal of metalwork. The surgical approach should be individualized and largely depends on the soft-tissue envelope of previous scars and vascular studies. Tibiotalocalcaneal arthrodesis (TTCA) with grafting is the most common and reliable procedure in the treatment of patients with end-stage ankle arthritis combined with severe deformity. Although most patients are satisfied with their outcome, nonunion rates of around 20% of cases and around 5% of cases will end in an amputation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751522000961 |