Management of Elderly Traumatic Ankle Arthritis with Ilizarov External Fixation
Objective To evaluate the clinical curative effect of Ilizarov external fixation and ankle arthrodesis in the treatment of elderly traumatic ankle arthritis. Methods From June 2013 to August 2019, 72 patients with elderly traumatic ankle arthritis were treated with arthrodesis through Ilizarov exter...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-10-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13399 |
| _version_ | 1811181642116497408 |
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| author | Jun Li Wenzhao Wang Hai Yang Bohua Li Lei Liu |
| author_facet | Jun Li Wenzhao Wang Hai Yang Bohua Li Lei Liu |
| author_sort | Jun Li |
| collection | DOAJ |
| description | Objective To evaluate the clinical curative effect of Ilizarov external fixation and ankle arthrodesis in the treatment of elderly traumatic ankle arthritis. Methods From June 2013 to August 2019, 72 patients with elderly traumatic ankle arthritis were treated with arthrodesis through Ilizarov external fixation technique in our institution. Conventional double‐feet standing X‐ray films were taken before and after operation. The tibiotalar angle on X‐ray image was measured to evaluate the degree of talipes varus and valgus. The Foot and Ankle pain score of American Orthopaedics Foot and Ankle Society (AOFAS) and Visual Analog Scale (VAS) were compared by using paired t‐test to evaluate the functional recovery. Results All of the patients acquired effective postoperative 18–49 months follow‐up, with an average of 31.5 months. All patients were included in the analysis, among which 38 cases were males and 34 cases were females, with an average of 65.4 years (ranging from 60 to 74). All ankles achieved bony fusion; the clinical healing time was 12.7 weeks on average (11–18 weeks). The AOFAS score was 45.36 ± 6.43 preoperatively and 80.25 ± 9.16 at 12 months post‐operation, with a statistically significant difference (p < 0.0001). The VAS score was 8.56 ± 1.85 on average preoperatively and 2.72 ± 0.83 at 12 months post‐operation, with a statistically significant difference (p < 0.0001). The tibiotalar angle was 101.93° ± 4.12° preoperatively and 94.45° ± 2.37° at 12 months post‐operation, with a statistically significant difference (p < 0.0001). The results of the functional evaluation indicated that 44 patients (61.1%) had excellent results, 18 (25%) had good results, and 10 (13.9%) had fair results. Conclusion Our study demonstrated that it is possible to obtain satisfactory outcome with Ilizarov external fixation and ankle arthrodesis in the treatment of elderly traumatic ankle arthritis. |
| first_indexed | 2024-04-11T09:20:56Z |
| format | Article |
| id | doaj.art-f3fae79283194e61a853414fc4e5cc0d |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-11T09:20:56Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-f3fae79283194e61a853414fc4e5cc0d2022-12-22T04:32:12ZengWileyOrthopaedic Surgery1757-78531757-78612022-10-0114102447245410.1111/os.13399Management of Elderly Traumatic Ankle Arthritis with Ilizarov External FixationJun Li0Wenzhao Wang1Hai Yang2Bohua Li3Lei Liu4Department of Orthopaedics Orthopaedic Research Institute, West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopaedics Orthopaedic Research Institute, West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopaedics Orthopaedic Research Institute, West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopaedics Orthopaedic Research Institute, West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopaedics Orthopaedic Research Institute, West China Hospital, Sichuan University Chengdu ChinaObjective To evaluate the clinical curative effect of Ilizarov external fixation and ankle arthrodesis in the treatment of elderly traumatic ankle arthritis. Methods From June 2013 to August 2019, 72 patients with elderly traumatic ankle arthritis were treated with arthrodesis through Ilizarov external fixation technique in our institution. Conventional double‐feet standing X‐ray films were taken before and after operation. The tibiotalar angle on X‐ray image was measured to evaluate the degree of talipes varus and valgus. The Foot and Ankle pain score of American Orthopaedics Foot and Ankle Society (AOFAS) and Visual Analog Scale (VAS) were compared by using paired t‐test to evaluate the functional recovery. Results All of the patients acquired effective postoperative 18–49 months follow‐up, with an average of 31.5 months. All patients were included in the analysis, among which 38 cases were males and 34 cases were females, with an average of 65.4 years (ranging from 60 to 74). All ankles achieved bony fusion; the clinical healing time was 12.7 weeks on average (11–18 weeks). The AOFAS score was 45.36 ± 6.43 preoperatively and 80.25 ± 9.16 at 12 months post‐operation, with a statistically significant difference (p < 0.0001). The VAS score was 8.56 ± 1.85 on average preoperatively and 2.72 ± 0.83 at 12 months post‐operation, with a statistically significant difference (p < 0.0001). The tibiotalar angle was 101.93° ± 4.12° preoperatively and 94.45° ± 2.37° at 12 months post‐operation, with a statistically significant difference (p < 0.0001). The results of the functional evaluation indicated that 44 patients (61.1%) had excellent results, 18 (25%) had good results, and 10 (13.9%) had fair results. Conclusion Our study demonstrated that it is possible to obtain satisfactory outcome with Ilizarov external fixation and ankle arthrodesis in the treatment of elderly traumatic ankle arthritis.https://doi.org/10.1111/os.13399arthrodesiselderly traumatic ankle arthritisend‐stageIlizarov external fixation |
| spellingShingle | Jun Li Wenzhao Wang Hai Yang Bohua Li Lei Liu Management of Elderly Traumatic Ankle Arthritis with Ilizarov External Fixation Orthopaedic Surgery arthrodesis elderly traumatic ankle arthritis end‐stage Ilizarov external fixation |
| title | Management of Elderly Traumatic Ankle Arthritis with Ilizarov External Fixation |
| title_full | Management of Elderly Traumatic Ankle Arthritis with Ilizarov External Fixation |
| title_fullStr | Management of Elderly Traumatic Ankle Arthritis with Ilizarov External Fixation |
| title_full_unstemmed | Management of Elderly Traumatic Ankle Arthritis with Ilizarov External Fixation |
| title_short | Management of Elderly Traumatic Ankle Arthritis with Ilizarov External Fixation |
| title_sort | management of elderly traumatic ankle arthritis with ilizarov external fixation |
| topic | arthrodesis elderly traumatic ankle arthritis end‐stage Ilizarov external fixation |
| url | https://doi.org/10.1111/os.13399 |
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