Midterm Outcome of Subtalar Joint Revision Arthrodesis

被引:7
作者
Chraim, Michel [1 ]
Recheis, Simon
Alrabai, Hamza [2 ]
Wenzel-Schwarz, Florian [3 ]
Trnka, Hans-Joerg [1 ]
Bock, Peter [4 ]
机构
[1] Fusszentrum Vienna, Vienna, Austria
[2] King Saud Univ, Dept Orthopaed, Riyadh, Saudi Arabia
[3] Orthopaed Hosp Speising, Dept Paediat Orthopaed & Adult Foot & Ankle Surg, Vienna, Austria
[4] Orthopoint, Vienna, Austria
关键词
foot and ankle; nonunion; subtalar arthrodesis; revision arthrodesis; subtalar revision; LATE COMPLICATIONS; ANKLE SURGERY; FOOT FUNCTION; RISK-FACTORS; BONE-GRAFT; FUSION; NONUNION; HINDFOOT; OSTEOARTHRITIS; FRACTURES;
D O I
10.1177/1071100721995187
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: The outcomes of revision subtalar arthrodesis have received relatively little focus in research compared with primary subtalar arthrodesis outcomes. This study aimed to assess the midterm clinical and radiologic results of subtalar joint revision arthrodesis and to analyze the risk factors that might influence the outcome of this procedure. Methods: We performed a retrospective review of 20 patients after subtalar joint revision arthrodesis for malunion, using interposition of iliac crest bone graft. The mean age was 55.75 years and the average follow-up lasted for 48.93 months. Eighty-five percent of the patients had at least 1 risk factor identified prior to revision. Patients' satisfaction and functional outcomes were evaluated with the American Orthopaedic Foot & Ankle Society Scale (AOFAS), the Foot and Ankle Outcome Score (FAOS), the Foot Function Index (FFI), and dynamic pedobarography. Results: A fusion rate of 80% was recorded whereas 20% of the cases ended with a painful pseudarthrosis requiring additional surgery. Pedobarographic measurements demonstrated that loading has a propensity toward the lateral column, but no substantial effect on the gait of patients. In this group, the following patient-reported outcomes were observed: 70% of the patients were satisfied, 20% of the patients found the result fair, and 10% were not satisfied with the results. Compared with the preoperative evaluation, postoperative functional scores showed significant improvement on the FOAS, AOFAS, and FFI outcome scales. Conclusion: Revision arthrodesis of the subtalar joint remains a challenging issue with a relatively high rate of nonunion, especially in a population of patients with multiple risk factors.
引用
收藏
页码:824 / 832
页数:9
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