Tibiotalar Arthrodesis in Posttraumatic Arthritis Using the Tension Band Technique
Background: Although a variety of surgical techniques are available for the treatment of ankle degenerative disease, arthrodesis is a common treatment especially for unilateral posttraumatic arthritis in young patients. A clear trend toward internal fixation for ankle arthrodesis is evident, but fus...
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| Veröffentlicht in: | Foot & ankle international 2013-06, Vol.34 (6), p.851-855 |
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| container_title | Foot & ankle international |
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| creator | Mongon, Mauricio Leal Dias Garcia Costa, Kleber Vinicius Bittar, Cintia Kelly Livani, Bruno |
| description | Background:
Although a variety of surgical techniques are available for the treatment of ankle degenerative disease, arthrodesis is a common treatment especially for unilateral posttraumatic arthritis in young patients. A clear trend toward internal fixation for ankle arthrodesis is evident, but fusion site compression is known to play an integral role in primary bone healing.
Methods:
Between September 2001 and October 2009, 17 adults with painful end-stage posttraumatic ankle arthritis were treated with the tension band technique to achieve tibiotalar arthrodesis.
Results:
Tibiotalar fusion was obtained in all patients at a mean of 16.6 (range, 13 to 28) weeks. No patient had pain at the last postoperative follow-up examination. AOFAS and Mazur scores were preoperatively 29 and 23.1, respectively, and postoperatively 71.1 and 70.7, respectively.
Conclusion:
Arthrodesis with a tension band was a safe and effective surgical treatment option for posttraumatic ankle arthritis in patients without infection and good bone density, as it was simple, less invasive, and inexpensive and allowed early full weight-bearing.
Level of Evidence:
Level IV, retrospective case series. |
| doi_str_mv | 10.1177/1071100713483097 |
| format | Article |
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Although a variety of surgical techniques are available for the treatment of ankle degenerative disease, arthrodesis is a common treatment especially for unilateral posttraumatic arthritis in young patients. A clear trend toward internal fixation for ankle arthrodesis is evident, but fusion site compression is known to play an integral role in primary bone healing.
Methods:
Between September 2001 and October 2009, 17 adults with painful end-stage posttraumatic ankle arthritis were treated with the tension band technique to achieve tibiotalar arthrodesis.
Results:
Tibiotalar fusion was obtained in all patients at a mean of 16.6 (range, 13 to 28) weeks. No patient had pain at the last postoperative follow-up examination. AOFAS and Mazur scores were preoperatively 29 and 23.1, respectively, and postoperatively 71.1 and 70.7, respectively.
Conclusion:
Arthrodesis with a tension band was a safe and effective surgical treatment option for posttraumatic ankle arthritis in patients without infection and good bone density, as it was simple, less invasive, and inexpensive and allowed early full weight-bearing.
Level of Evidence:
Level IV, retrospective case series.</description><identifier>ISSN: 1071-1007</identifier><identifier>EISSN: 1944-7876</identifier><identifier>DOI: 10.1177/1071100713483097</identifier><identifier>PMID: 23589160</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Ankle Injuries - complications ; Ankle Joint - surgery ; Arthritis - etiology ; Arthritis - surgery ; Arthrodesis - methods ; Female ; Fibula - surgery ; Fractures, Bone - complications ; Humans ; Male ; Middle Aged ; Osteotomy ; Retrospective Studies ; Talus - surgery ; Tibia - surgery ; Treatment Outcome</subject><ispartof>Foot & ankle international, 2013-06, Vol.34 (6), p.851-855</ispartof><rights>The Author(s) 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-faea4083988c3df027ebfaddf5f1dd143856af307b7d0770f75df573bcf3ce0d3</citedby><cites>FETCH-LOGICAL-c403t-faea4083988c3df027ebfaddf5f1dd143856af307b7d0770f75df573bcf3ce0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1071100713483097$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1071100713483097$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21817,27922,27923,43619,43620</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23589160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mongon, Mauricio Leal Dias</creatorcontrib><creatorcontrib>Garcia Costa, Kleber Vinicius</creatorcontrib><creatorcontrib>Bittar, Cintia Kelly</creatorcontrib><creatorcontrib>Livani, Bruno</creatorcontrib><title>Tibiotalar Arthrodesis in Posttraumatic Arthritis Using the Tension Band Technique</title><title>Foot & ankle international</title><addtitle>Foot Ankle Int</addtitle><description>Background:
Although a variety of surgical techniques are available for the treatment of ankle degenerative disease, arthrodesis is a common treatment especially for unilateral posttraumatic arthritis in young patients. A clear trend toward internal fixation for ankle arthrodesis is evident, but fusion site compression is known to play an integral role in primary bone healing.
Methods:
Between September 2001 and October 2009, 17 adults with painful end-stage posttraumatic ankle arthritis were treated with the tension band technique to achieve tibiotalar arthrodesis.
Results:
Tibiotalar fusion was obtained in all patients at a mean of 16.6 (range, 13 to 28) weeks. No patient had pain at the last postoperative follow-up examination. AOFAS and Mazur scores were preoperatively 29 and 23.1, respectively, and postoperatively 71.1 and 70.7, respectively.
Conclusion:
Arthrodesis with a tension band was a safe and effective surgical treatment option for posttraumatic ankle arthritis in patients without infection and good bone density, as it was simple, less invasive, and inexpensive and allowed early full weight-bearing.
Level of Evidence:
Level IV, retrospective case series.</description><subject>Adult</subject><subject>Ankle Injuries - complications</subject><subject>Ankle Joint - surgery</subject><subject>Arthritis - etiology</subject><subject>Arthritis - surgery</subject><subject>Arthrodesis - methods</subject><subject>Female</subject><subject>Fibula - surgery</subject><subject>Fractures, Bone - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteotomy</subject><subject>Retrospective Studies</subject><subject>Talus - surgery</subject><subject>Tibia - surgery</subject><subject>Treatment Outcome</subject><issn>1071-1007</issn><issn>1944-7876</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kDtPwzAUhS0EoqWwM6GMLIHrOomTsVS8pEoglM6R40frKrGL7Qz8e1ylMCCx2L76zjlXPghdY7jDmNJ7DBRjiAfJSgIVPUFTXGVZSktanMZ3JOmBT9CF9zsATAmuztFkTvKywgVM0UetW20D65hLFi5snRXSa59ok7xbH4JjQ8-C5iPUIaK112aThK1Mamm8tiZ5YEbEgW-N_hzkJTpTrPPy6njP0PrpsV6-pKu359flYpXyDEhIFZMsg5JUZcmJUDCnslVMCJUrLATOSJkXTBGgLRVAKSiaR0ZJyxXhEgSZodsxd-9sXOtD02vPZdcxI-3gG0yKvKoA5yRKYZRyZ713UjV7p3vmvhoMzaHJ5m-T0XJzTB_aXopfw091UZCOAs82stnZwZn42_8DvwFQmnv3</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Mongon, Mauricio Leal Dias</creator><creator>Garcia Costa, Kleber Vinicius</creator><creator>Bittar, Cintia Kelly</creator><creator>Livani, Bruno</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130601</creationdate><title>Tibiotalar Arthrodesis in Posttraumatic Arthritis Using the Tension Band Technique</title><author>Mongon, Mauricio Leal Dias ; Garcia Costa, Kleber Vinicius ; Bittar, Cintia Kelly ; Livani, Bruno</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-faea4083988c3df027ebfaddf5f1dd143856af307b7d0770f75df573bcf3ce0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Ankle Injuries - complications</topic><topic>Ankle Joint - surgery</topic><topic>Arthritis - etiology</topic><topic>Arthritis - surgery</topic><topic>Arthrodesis - methods</topic><topic>Female</topic><topic>Fibula - surgery</topic><topic>Fractures, Bone - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteotomy</topic><topic>Retrospective Studies</topic><topic>Talus - surgery</topic><topic>Tibia - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mongon, Mauricio Leal Dias</creatorcontrib><creatorcontrib>Garcia Costa, Kleber Vinicius</creatorcontrib><creatorcontrib>Bittar, Cintia Kelly</creatorcontrib><creatorcontrib>Livani, Bruno</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot & ankle international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mongon, Mauricio Leal Dias</au><au>Garcia Costa, Kleber Vinicius</au><au>Bittar, Cintia Kelly</au><au>Livani, Bruno</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tibiotalar Arthrodesis in Posttraumatic Arthritis Using the Tension Band Technique</atitle><jtitle>Foot & ankle international</jtitle><addtitle>Foot Ankle Int</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>34</volume><issue>6</issue><spage>851</spage><epage>855</epage><pages>851-855</pages><issn>1071-1007</issn><eissn>1944-7876</eissn><abstract>Background:
Although a variety of surgical techniques are available for the treatment of ankle degenerative disease, arthrodesis is a common treatment especially for unilateral posttraumatic arthritis in young patients. A clear trend toward internal fixation for ankle arthrodesis is evident, but fusion site compression is known to play an integral role in primary bone healing.
Methods:
Between September 2001 and October 2009, 17 adults with painful end-stage posttraumatic ankle arthritis were treated with the tension band technique to achieve tibiotalar arthrodesis.
Results:
Tibiotalar fusion was obtained in all patients at a mean of 16.6 (range, 13 to 28) weeks. No patient had pain at the last postoperative follow-up examination. AOFAS and Mazur scores were preoperatively 29 and 23.1, respectively, and postoperatively 71.1 and 70.7, respectively.
Conclusion:
Arthrodesis with a tension band was a safe and effective surgical treatment option for posttraumatic ankle arthritis in patients without infection and good bone density, as it was simple, less invasive, and inexpensive and allowed early full weight-bearing.
Level of Evidence:
Level IV, retrospective case series.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23589160</pmid><doi>10.1177/1071100713483097</doi><tpages>5</tpages></addata></record> |
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| ispartof | Foot & ankle international, 2013-06, Vol.34 (6), p.851-855 |
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| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adult Ankle Injuries - complications Ankle Joint - surgery Arthritis - etiology Arthritis - surgery Arthrodesis - methods Female Fibula - surgery Fractures, Bone - complications Humans Male Middle Aged Osteotomy Retrospective Studies Talus - surgery Tibia - surgery Treatment Outcome |
| title | Tibiotalar Arthrodesis in Posttraumatic Arthritis Using the Tension Band Technique |
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