ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:Rheumatoid arthritis commonly affects the foot and ankle. For those patients for whom nonoperative methodologies fail, surgical intervention is required. The most commonly affected area is the forefoot, followed by the hindfoot, midfoot, and ankle. In the forefoot, first metatarsophalangeal fusion, along with resection of the lesser metatarsal heads, is an effective means for correcting deformity and alleviating pain. Some authors recommend isolated talonavicular fusion for hindfoot arthritis. However, our experience indicates that the addition of calcaneocuboid fusion or triple arthrodesis allows a more durable foot with higher fusion rates. Midfoot arthritis with or without deformity can be corrected with fusion and corrective osteotomy as needed. Ankle arthrodesis is often necessary owing to advanced disease or increased stress from previous arthrodeses. In general, we recommend fusion using screw compression techniques with local bone graft. The application of these methods has produced a high fusion rate, minimal complications, and a plantigrade, shoeable foot.

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:Isolated flexor digitorum longus tendon transfers for reconstruction of stage II posterior tibial tendon insufficiency have limited effect on restoring the longitudinal arch. Use of ancillary os calcis osteotomies has recently gained popularity for both maintaining a weightbearing arch and for improving survivorship of soft tissue tendon procedures. A modification of the Evan's lateral column lengthening procedure, which consists of distraction arthrodesis of the calcaneocuboid joint, can restore the geometry of the foot while preserving hindfoot mobility.

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:Ankle arthrodesis is a reliable salvage procedure for end-stage dysfunction of the ankle joint. End-stage dysfunction is most commonly due to rheumatoid arthritis or posttraumatic degenerative arthritis of the ankle. Following successful ankle arthrodesis, a significant improvement in the ability to perform activities of daily living is expected. Ankle arthrodesis will provide many years of useful function and pain relief. Most patients will tolerate over-the-counter shoewear and lead a relatively normal lifestyle. With a long-standing ankle fusion, progressive degenerative arthritic changes may occur elsewhere in the foot. These are usually radiographic observations and rarely cause significant clinical restrictions. The predictable outcome and longterm endurance continue to support ankle arthrodesis as the procedure of choice for end-stage dysfunction of the ankle.

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:Compression arthrodesis of the ankle has been shown to be successful utilizing either external or internal methods of fixation. Recent studies have supported a trend toward the use of internal fixation because it has a high incidence of successful ankle arthrodesis and a lower incidence of complications compared with prior methods of external fixation. Patients with a history of sepsis or severe soft tissue trauma and resultant scarring, or patients with large bony defects, may be poor candidates for internal fixation. Elderly or infirm patients may be unable to tolerate extended periods of being non-weight-bearing on the operative extremity as required by techniques of rigid internal fixation. Ten such patients underwent compression arthrodesis of the ankle utilizing a ring external fixation device. All 10 patients (100%) demonstrated solid bony fusion in appropriate positions. All patients were able to maintain their weight-bearing status during the application of the external fixation device. One patient demonstrated a superficial infection at a transfixion pin site, which resolved following a short course of oral antibiotic therapy. Patient compliance was good. This technique represents an alternative to internal fixation for reliable ankle arthrodesis

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:This article provides a history of the methods and results employing tibiotalocalcaneal arthrodesis. The author's preferred technique is described in detail. The significance of this report is that a method of hindfoot arthrodesis first described decades ago may be more successfully employed today with the use of an intramedullary ankle fusion nail

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:Primary as well as revision arthrodesis procedures of the ankle are associated with a high rate of complications including nonunion, malunion, infection, wound healing problems, damage to nerves and blood vessels, and gait disturbance secondary to malposition, all of which have prompted the development of various techniques to avoid or minimize said complications. In addition to those dilemmas are other complex scenarios such as failed total ankle arthroplasty and paralytic or neuropathic deformities which can render a plethora of problems for the treating physician to deal with, including maintenance of length and alignment, and problems with prior incisions or soft tissue damage with a potential for delays in wound healing or complications with bony union

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID