We compared the indications and the results of the treatment of severe deformities of the tibiotarsic joint, performed either with the external fixator or with the retrograde nail. The external fixation allows the execution of the arthrodesis independently from the tibiotarsic bone stock. The treatment can be an immediate correction, a gradual one, or associated to a bone transport, if necessary. The external fixation is mostly indicated in complex deformities, with a severe lack of bone stock, and in reviews of previous arthrodesis. The retrograde nail allows an immediate correction of the deformity, but requires more residual bone stock of the talus. In case of an insufficient bone stock, the nail stability is precarious or risky. The arthrodesis and the deformity correction with a retrograde nail, may result into an ipometry of more than 3 cm, that will require further surgical techniques
Ankle arthrodesis: a comparison between retrograde intramedullary nail and external fixation / Massobrio, Marco; Antonietti, G; Albanese, P; Necci, F.. - In: JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY. - ISSN 1590-9921. - 10:(2009), pp. S67-S67.
Ankle arthrodesis: a comparison between retrograde intramedullary nail and external fixation.
MASSOBRIO, Marco;
2009
Abstract
We compared the indications and the results of the treatment of severe deformities of the tibiotarsic joint, performed either with the external fixator or with the retrograde nail. The external fixation allows the execution of the arthrodesis independently from the tibiotarsic bone stock. The treatment can be an immediate correction, a gradual one, or associated to a bone transport, if necessary. The external fixation is mostly indicated in complex deformities, with a severe lack of bone stock, and in reviews of previous arthrodesis. The retrograde nail allows an immediate correction of the deformity, but requires more residual bone stock of the talus. In case of an insufficient bone stock, the nail stability is precarious or risky. The arthrodesis and the deformity correction with a retrograde nail, may result into an ipometry of more than 3 cm, that will require further surgical techniquesI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.