Septic History Limits the Outcome of Tibiotalocalcaneal Arthrodesis.

ankle arthrodesis hindfoot fusion nail posttraumatic septic osteoarthritis septic history tibiotalocalcaneal arthrodesis

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
12 May 2023
Historique:
received: 08 04 2023
revised: 08 05 2023
accepted: 10 05 2023
medline: 27 5 2023
pubmed: 27 5 2023
entrez: 27 5 2023
Statut: epublish

Résumé

Joint destruction necessitates tibiotalocalcaneal arthrodesis (TTCA) in cases of clinical deficits that cannot be controlled conservatively, possibly leading to sepsis. We aimed to compare the underlying etiology of posttraumatic joint destruction and the outcomes after TTCA in patients with a septic or aseptic history. Between 2010 and 2022, 216 patients with TTCA were retrospectively enrolled (septic TTCA (S-TTCA) = 129; aseptic TTCA (A-TTCA) = 87). Patient demographics, etiology, Olerud and Molander Ankle Scores (OMASs), Foot Function Index (FFI-D) scores, and Short Form-12 Questionnaire (SF-12) scores were recorded. The mean follow-up period was 6.5 years. Tibial plafond and ankle fractures were the most common causes of sepsis. The mean OMAS was 43.0; the mean FFI-D was 76.7; and the mean SF-12 physical component summary score was 35.5. All the scores differed significantly between the groups (

Identifiants

pubmed: 37240528
pii: jcm12103422
doi: 10.3390/jcm12103422
pmc: PMC10219404
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Magalie Meinert (M)

Department for Trauma and Orthopaedic Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, 60389 Frankfurt, Germany.

Christian Colcuc (C)

Department for Trauma and Orthopaedic Surgery, Evangelical Hospital Bethel Bielefeld, 33611 Bielefeld, Germany.

Eva Herrmann (E)

Division of Biostatistics and Mathematical Modelling, Goethe-University, Frankfurt am Main, Theodor-Stern-Kai 7, 60596 Frankfurt am Main, Germany.

Johannes Harbering (J)

Department for Septic Bone Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, 60389 Frankfurt, Germany.

Yves Gramlich (Y)

Department for Trauma and Orthopaedic Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, 60389 Frankfurt, Germany.

Marc Blank (M)

Department of Foot and Ankle Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, 60389 Frankfurt, Germany.

Reinhard Hoffmann (R)

Department for Trauma and Orthopaedic Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, 60389 Frankfurt, Germany.

Sebastian Fischer (S)

Department of Foot and Ankle Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, 60389 Frankfurt, Germany.

Classifications MeSH