miércoles, 15 de marzo de 2017

Artrodesis Subtalar Artroscópica Posterior: Revisión Clínica y Radiológica de 19 casos


Posterior Arthroscopic Subtalar Arthrodesis: Clinical and Radiologic Review of 19 Cases.
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2017 Mar 8. pii: S1067-2516(17)30021-2. doi: 10.1053/j.jfas.2017.01.021. [Epub ahead of print]
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Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.Abstract
Arthroscopic subtalar arthrodesis has recently gained popularity in the treatment of primary subtalar or post-traumatic arthritis, coalition, or inflammatory diseases with subtalar arthritis. The present study reports the clinical and radiologic results of 19 patients (19 feet) who underwent posterior arthroscopic subtalar arthrodesis using 2 posterior portals. A total of 19 posterior arthroscopic subtalar arthrodeses (minimum follow-up of 24 months) performed without a bone graft and with 2 parallel screws were prospectively evaluated. The fusion rate was 94% (mean time to fusion 9.8 weeks). Modified American Orthopaedic Foot and Ankle Society ankle-hindfoot scale score (maximum 94 points) improved significantly from 43 to 80 points and the visual analog scale for pain score improved from 7.6 to 1.2. The 12-item short-form physical and mental scores at the last follow-up point were 52.5 and 56.4, respectively. One (5.3%) patient underwent open repeat fusion for nonunion, 2 (10.5%) patients required a second procedure for implant removal, and 1 (5.3%) experienced reversible neuropraxia. In conclusion, posterior arthroscopic subtalar arthrodesis is a safe technique with a good union rate and a small number of complications in patients with no or very little hindfoot deformity.
Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
KEYWORDS:
ankle arthroscopy; posterior subtalar arthroscopy; subtalar arthritis; subtalar arthrodesis
En conclusión, la artrodesis subtalar artroscópica posterior es una técnica segura, con una buena tasa de unión y un pequeño número de complicaciones en pacientes con ninguna deformidad o muy pequeña en el antepie.PALABRAS CLAVE:
Artroscopia de tobillo; Artroscopia subtalar posterior; Artritis subtalar; Artrodesis subtalar
PMID:  28284492   DOI:  
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