Gómez CLA, Hermida GLF, Guerrero S

Language: Spanish
References: 15
Page: 48-53
PDF size: 301.31 Kb.

ABSTRACT

Two cases of ankle osteoarthritis that were treated with tibio-talar arthrodesis are presented. In the first case the fusion was successful but a gross sub-talar instability developed that gave the patient symptoms and in the second patient, a non-union occurred and progressive medial pain was the patient chief complaint. In both cases, a total ankle arthroplasty was made with a very good outcome. Ankle arthrodesis conversion to a total ankle arthroplasty is new concept that offers not only a regain in ankle range of motion but also the prevention of early secondary arthrosis of the neighbor joints by unloading them, specially the sub-talar joint. Although this is not frequent procedure for each surgeon, cases are being compilated by groups in order to have a solid evidence of its efficacy in cases like an ankle non-union/mal-union, sub-talar disease posterior an ankle fusion.

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