Management of Elderly Traumatic Ankle Arthritis with Ilizarov External Fixation.
Ilizarov external fixation
arthrodesis
elderly traumatic ankle arthritis
end-stage
Journal
Orthopaedic surgery
ISSN: 1757-7861
Titre abrégé: Orthop Surg
Pays: Australia
ID NLM: 101501666
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
revised:
05
06
2022
received:
21
11
2021
accepted:
19
06
2022
pubmed:
25
8
2022
medline:
6
10
2022
entrez:
24
8
2022
Statut:
ppublish
Résumé
To evaluate the clinical curative effect of Ilizarov external fixation and ankle arthrodesis in the treatment of elderly traumatic ankle arthritis. From June 2013 to August 2019, 72 patients with elderly traumatic ankle arthritis were treated with arthrodesis through Ilizarov external fixation technique in our institution. Conventional double-feet standing X-ray films were taken before and after operation. The tibiotalar angle on X-ray image was measured to evaluate the degree of talipes varus and valgus. The Foot and Ankle pain score of American Orthopaedics Foot and Ankle Society (AOFAS) and Visual Analog Scale (VAS) were compared by using paired t-test to evaluate the functional recovery. All of the patients acquired effective postoperative 18-49 months follow-up, with an average of 31.5 months. All patients were included in the analysis, among which 38 cases were males and 34 cases were females, with an average of 65.4 years (ranging from 60 to 74). All ankles achieved bony fusion; the clinical healing time was 12.7 weeks on average (11-18 weeks). The AOFAS score was 45.36 ± 6.43 preoperatively and 80.25 ± 9.16 at 12 months post-operation, with a statistically significant difference (p < 0.0001). The VAS score was 8.56 ± 1.85 on average preoperatively and 2.72 ± 0.83 at 12 months post-operation, with a statistically significant difference (p < 0.0001). The tibiotalar angle was 101.93° ± 4.12° preoperatively and 94.45° ± 2.37° at 12 months post-operation, with a statistically significant difference (p < 0.0001). The results of the functional evaluation indicated that 44 patients (61.1%) had excellent results, 18 (25%) had good results, and 10 (13.9%) had fair results. Our study demonstrated that it is possible to obtain satisfactory outcome with Ilizarov external fixation and ankle arthrodesis in the treatment of elderly traumatic ankle arthritis.
Identifiants
pubmed: 36001696
doi: 10.1111/os.13399
pmc: PMC9531104
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2447-2454Subventions
Organisme : "Zero to One" Innovation Research Project of Sichuan University
ID : 2022SCUH0014
Organisme : China Postdoctoral Science Foundation
ID : 2021M692279
Organisme : National Natural Science Fund of China
ID : 81874002
Organisme : the National Clinical Research Center for Geriatrics
ID : Z20192013
Organisme : West China hospital postdoctoral research and development fund
ID : 2019HXBH068
Informations de copyright
© 2022 The Authors. Orthopaedic Surgery published by Tianjin Hospital and John Wiley & Sons Australia, Ltd.
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