Tibiotalocalcaneal fusion using retrograde intramedullary nails as a salvage procedure for failed total ankle prostheses. Sixteen cases primarily operated on due to rheumaoid arthritis

Thomas Anderson; Urban Rydholm; Jack Besjakov; Fredrik Montgomery; Åke Carlsson

doi:10.1016/j.fas.2005.03.003

Tibiotalocalcaneal fusion using retrograde intramedullary nails as a salvage procedure for failed total ankle prostheses. Sixteen cases primarily operated on due to rheumaoid arthritis

Thomas Anderson, Urban Rydholm, Jack Besjakov, Fredrik Montgomery, Åke Carlsson

Research output: Contribution to journal › Article › peer-review

Abstract

Between 1996 and 2002, 16 patients with rheumatoid arthritis and failed total ankle prosthesis underwent tibiotalocalcaneal fusion using retrograde intramedullary nails. The functional outcome was evaluated using the AOFAS scoring system and the patients were also asked about their satisfaction. Radiographs were obtained for all 16 cases minimum 1 year after surgery.

Thirteen of the 16 ankles were considered radiographically healed, 11 at the first attempt and two after repeat arthrodesis. The median AOFAS pain and total scores were 40 and 58, respectively. Two deep infections resulted in a fused ankle after antibiotic treatment.

In patients with rheumatoid arthritis and a failed total ankle prosthesis, tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail resulted in primary healing in two-thirds of the cases. Only two patients with a fused ankle were dissatisfied with the final result. The procedure is recommended in selected cases as an alternative to external fixation.

Original language	English
Pages (from-to)	143-147
Journal	Foot & Ankle Surgery
Volume	11
Issue number	3
DOIs	https://doi.org/10.1016/j.fas.2005.03.003
Publication status	Published - 2005

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Medical Radiology Unit (013241410), Department of Orthopaedics (Lund) (013028000), Reconstructive Surgery (013240300)

Subject classification (UKÄ)

Surgery
Radiology, Nuclear Medicine and Medical Imaging
Orthopedics

Free keywords

Intramedullary nail
Arthroplasty
Arthrodesis
Ankle

Access to Document

10.1016/j.fas.2005.03.003

Cite this

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title = "Tibiotalocalcaneal fusion using retrograde intramedullary nails as a salvage procedure for failed total ankle prostheses. Sixteen cases primarily operated on due to rheumaoid arthritis",

abstract = "Between 1996 and 2002, 16 patients with rheumatoid arthritis and failed total ankle prosthesis underwent tibiotalocalcaneal fusion using retrograde intramedullary nails. The functional outcome was evaluated using the AOFAS scoring system and the patients were also asked about their satisfaction. Radiographs were obtained for all 16 cases minimum 1 year after surgery. Thirteen of the 16 ankles were considered radiographically healed, 11 at the first attempt and two after repeat arthrodesis. The median AOFAS pain and total scores were 40 and 58, respectively. Two deep infections resulted in a fused ankle after antibiotic treatment. In patients with rheumatoid arthritis and a failed total ankle prosthesis, tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail resulted in primary healing in two-thirds of the cases. Only two patients with a fused ankle were dissatisfied with the final result. The procedure is recommended in selected cases as an alternative to external fixation.",

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author = "Thomas Anderson and Urban Rydholm and Jack Besjakov and Fredrik Montgomery and {\AA}ke Carlsson",

note = "The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Medical Radiology Unit (013241410), Department of Orthopaedics (Lund) (013028000), Reconstructive Surgery (013240300)",

year = "2005",

doi = "10.1016/j.fas.2005.03.003",

language = "English",

volume = "11",

pages = "143--147",

journal = "Foot & Ankle Surgery",

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Tibiotalocalcaneal fusion using retrograde intramedullary nails as a salvage procedure for failed total ankle prostheses. Sixteen cases primarily operated on due to rheumaoid arthritis. / Anderson, Thomas; Rydholm, Urban; Besjakov, Jack et al.
In: Foot & Ankle Surgery, Vol. 11, No. 3, 2005, p. 143-147.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Tibiotalocalcaneal fusion using retrograde intramedullary nails as a salvage procedure for failed total ankle prostheses. Sixteen cases primarily operated on due to rheumaoid arthritis

AU - Anderson, Thomas

AU - Rydholm, Urban

AU - Besjakov, Jack

AU - Montgomery, Fredrik

AU - Carlsson, Åke

N1 - The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Medical Radiology Unit (013241410), Department of Orthopaedics (Lund) (013028000), Reconstructive Surgery (013240300)

PY - 2005

Y1 - 2005

N2 - Between 1996 and 2002, 16 patients with rheumatoid arthritis and failed total ankle prosthesis underwent tibiotalocalcaneal fusion using retrograde intramedullary nails. The functional outcome was evaluated using the AOFAS scoring system and the patients were also asked about their satisfaction. Radiographs were obtained for all 16 cases minimum 1 year after surgery. Thirteen of the 16 ankles were considered radiographically healed, 11 at the first attempt and two after repeat arthrodesis. The median AOFAS pain and total scores were 40 and 58, respectively. Two deep infections resulted in a fused ankle after antibiotic treatment. In patients with rheumatoid arthritis and a failed total ankle prosthesis, tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail resulted in primary healing in two-thirds of the cases. Only two patients with a fused ankle were dissatisfied with the final result. The procedure is recommended in selected cases as an alternative to external fixation.

AB - Between 1996 and 2002, 16 patients with rheumatoid arthritis and failed total ankle prosthesis underwent tibiotalocalcaneal fusion using retrograde intramedullary nails. The functional outcome was evaluated using the AOFAS scoring system and the patients were also asked about their satisfaction. Radiographs were obtained for all 16 cases minimum 1 year after surgery. Thirteen of the 16 ankles were considered radiographically healed, 11 at the first attempt and two after repeat arthrodesis. The median AOFAS pain and total scores were 40 and 58, respectively. Two deep infections resulted in a fused ankle after antibiotic treatment. In patients with rheumatoid arthritis and a failed total ankle prosthesis, tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail resulted in primary healing in two-thirds of the cases. Only two patients with a fused ankle were dissatisfied with the final result. The procedure is recommended in selected cases as an alternative to external fixation.

KW - Intramedullary nail

KW - Arthroplasty

KW - Arthrodesis

KW - Ankle

U2 - 10.1016/j.fas.2005.03.003

DO - 10.1016/j.fas.2005.03.003

M3 - Article

VL - 11

SP - 143

EP - 147

JO - Foot & Ankle Surgery

JF - Foot & Ankle Surgery

IS - 3

ER -

Tibiotalocalcaneal fusion using retrograde intramedullary nails as a salvage procedure for failed total ankle prostheses. Sixteen cases primarily operated on due to rheumaoid arthritis

Abstract

Bibliographical note

Subject classification (UKÄ)

Free keywords

Access to Document

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Cite this