Análisis de resultados de artrodesis tibioastragalinocalcánea con clavo retrógrado intramedular

Abstract

Background. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nail is the gold standard treatment for severe ankle arthropathies. The aim was to analyze the results of arthrodesis obtained using retrograde intramedullary nail. This study reports the rate of consolidation, functional outcomes and complications. Methods. An observational, descriptive and retrospective study on 21 cases of ankle arthrodesis. Epidemiological variables, etiology, risk factors and date of intervention were collected. The functional results were assessed using the Visual Analogue Scale, satisfaction rating and the American Orthopaedic Foot and Ankle Society (AOFAS) scale, as well as the consolidation rate. We analyze the complications and their treatment. Results. Sixty two percent of our patients had a posttraumatic arthropathy. Eighty two percent of them were satisfied or very satisfied with the intervention. We obtained an average of 61.88 (range, 43-86) in AOFAS score. The consolidation rate was 94%. We had a total complication of 53%. If we considered major complication, we found 26%. While the minor one, was 26% of the total. Conclusion. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nail is a satisfactory technique in patients with severe ankle arthropathy, although it has several complications.