Does foot position in tibiotalar arthrodesis have an effect on development of secondary arthrosis

C.F. Lattig, Markus Kuster, C. Lampert

Research output: Contribution to journalArticle

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Abstract

Twenty-nine patients with 30 isolated arthrodeses of the upper ankle done by a resection and compression technique to treat post-traumaticarthrosis or irreparable pilon fractures, were assessed clinically and radiologically 15–32 years (average, 23.5 years) postoperatively. Footposition, talar retrodeviation, and the various angles of the hindfoot were determined by clinical and radiologic evaluation. Eighteen patients(60%) achieved a good or very good result (American Orthopaedic Foot and Ankle Society AOFAS Score more than 70 points). In contrast,the radiologic examination revealed that additional development or increased arthrosis of the hindfoot and midfoot was present in 26 feet. Nocorrelation was found between the foot position in which the arthrodesis was done and the localization and extent of secondary arthrodeses.Arthrodesis done in a neutral position without talar retroposition can be done without deterioration of longterm effects.q 2003 Elsevier Science Ltd. All rights reserved.
Original languageEnglish
Pages (from-to)25-29
JournalFoot and Ankle Surgery
Volume9
Issue number1
DOIs
Publication statusPublished - 2003

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Joint Diseases
Arthrodesis
Foot
Ankle
Orthopedics

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Lattig, C.F. ; Kuster, Markus ; Lampert, C. / Does foot position in tibiotalar arthrodesis have an effect on development of secondary arthrosis. In: Foot and Ankle Surgery. 2003 ; Vol. 9, No. 1. pp. 25-29.
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Does foot position in tibiotalar arthrodesis have an effect on development of secondary arthrosis. / Lattig, C.F.; Kuster, Markus; Lampert, C.

In: Foot and Ankle Surgery, Vol. 9, No. 1, 2003, p. 25-29.

Research output: Contribution to journalArticle

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AB - Twenty-nine patients with 30 isolated arthrodeses of the upper ankle done by a resection and compression technique to treat post-traumaticarthrosis or irreparable pilon fractures, were assessed clinically and radiologically 15–32 years (average, 23.5 years) postoperatively. Footposition, talar retrodeviation, and the various angles of the hindfoot were determined by clinical and radiologic evaluation. Eighteen patients(60%) achieved a good or very good result (American Orthopaedic Foot and Ankle Society AOFAS Score more than 70 points). In contrast,the radiologic examination revealed that additional development or increased arthrosis of the hindfoot and midfoot was present in 26 feet. Nocorrelation was found between the foot position in which the arthrodesis was done and the localization and extent of secondary arthrodeses.Arthrodesis done in a neutral position without talar retroposition can be done without deterioration of longterm effects.q 2003 Elsevier Science Ltd. All rights reserved.

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