2021, Number 1
An Med Asoc Med Hosp ABC 2021; 66 (1)
Early support in ankle arthrodesis by minimum incisions. Experience in the National Institute of Rehabilitation
Parra TP, Morales SM, López GE, Cortez GR
PDF size: 357.20 Kb.
ABSTRACTIntroduction: Tibiotalocalcaneal arthrodesis is used to eliminate pain and instability in severe osteoarthritis. The use of centromedullary nails has become more popular than other forms of fixation, due to the stability they achieve; they are capable of generating compression and increased fusion rates. Objective: Implement early support in post-operated patients with ankle arthrodesis with a centromedullary nail and assess its impact on consolidation an quality of life. Material and methods: They were carried out at the "Luis Guillermo Ibarra Ibarra" National Rehabilitation Institute. 34 ankle arthrodesis with an anterior approach with minimal incisions in 33 patients from the Neuromuscular Deformities, Foot and Ankle Surgery service, in the period from January 2014 to December 2018. The type of study was a follow-up of a series of cases before and after intervention. Results: Of the 34 arthrodeses performed, in 33 patients; 20 in the right ankle, corresponding to 58.8% and 14 in the left ankle, representing 41.1% being bilateral in one patient. Conclusion: In the clinical assessment, the preoperative and postoperative AOFAS scale, favorable results were obtained after ankle arthrodesis, which is why it is shown that when performing this procedure, pain, ankle hindfoot alignment and rearfoot are improved. Gait function without limitations, demonstrating with the clinical assessment, improvement in function, due to the shorter disability time.