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Vol. 26. Núm. 2.
Páginas 14-21 (Diciembre 2012)
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Vol. 26. Núm. 2.
Páginas 14-21 (Diciembre 2012)
Open Access
Artrodesis tibiotalocalcánea con clavo retrógrado mediante cirugía de mínima incisión. Análisis preliminar de una serie de casos
Tibiotalocalcaneal arthrodesis with retrograde nail through minimaly invasive surgery. Preliminary analysis of a case series
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S. Tejero García, A. Carranza Bencano
Autor para correspondencia
acarranz@us.es

Correspondencia:Hospital Universitario Virgen del Rocío, c/ Cardenal Ilundain. 41013 Sevilla
, J.J. Fernández Torres, G. Castillo Blanco, A. Alegrete Parra, J.R. Fernández Velázquez, P. García Parra
Universidad de Sevilla. Facultad de Medicina. Servicio Andaluz de Salud. Hospital Universitario Virgen del Rocío. Sevilla
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La artrodesis tibiotalocalcánea (TTC) se cuenta entre las técnicas más exigentes en el tratamiento de pacientes con artrosis grave con o sin mala alineación del retropié y dolor incapacitante asociado. La cirugía mínimamente invasiva sin isquemia del miembro es potencialmente beneficiosa en estos pacientes. Revisamos aquí los resultados funcionales, la calidad de vida percibida y las complicaciones en una serie consecutiva de 55 pacientes intervenidos de artrodesis TTC con clavo retrógrado mediante cirugía mínimamente invasiva.

Palabras clave:
Artrosis del retropié
Tratamiento quirúrgico
Artrodesis tibiotalocalcánea
Cirugía mínimamente invasiva

The tibiotalocalcaneal (TTC) arthrodesis ranks among the most demanding techniques in the treatment of patients with severe osteoarthritis with or without hindfoot misalignment and associated incapacitating pain. Minimally invasive surgery without limb ischaemia is potentially beneficial in these patients. We here review the functional results, the perceived quality of life and the complications in a consecutive series of 55 patients who had undergone TTC arthrodesis with retrograde nail through minimally invasive surgery.

Key words:
Hindfoot osteoarthritis
Surgical management
Tibiotalocalcaneal arthrodesis
Minimally invasive surgery
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Bibliografía
[1.]
L.B. Chou, R.A. Mann, B. Yaszay, S.C. Graves, W.T. McPeake, S.M. Dreeben, et al.
Tibiotalocalcaneal arthrodesis.
Foot Ankle Int, 21 (2000), pp. 804-808
[2.]
K.S. Shah, A.S. Younger.
Primary tibiotalocalcaneal arthrodesis.
Foot Ankle Clin, 16 (2011), pp. 115-136
[3.]
R. Haaker, E.Y. Kohja, M. Wojciechowski, G. Gruber.
Tibio- talo-calcaneal arthrodesis by a retrograde intramedullary nail.
Ortop Traumatol Rehabil, 12 (2010), pp. 245-249
[4.]
N.A. Ebraheim, H. Elgafy, J.J. Stefancin.
Intramedularary fibular graft for tibiotalocalcalneal arthrodesis.
Clin Orthop, 385 (2001), pp. 165-169
[5.]
C.P. Chiodo, J.I. Acevedo, V.J. Sammarco, B.G. Parks, H.R. Boucher, M.S. Meyerson, L.C. Schon.
Intramedullary rod fixation compared with blade-plate-and screw fixation for tibiotalocalcaneal arthrodesis: a biomecanical investigation.
J Bone Joint Surg Am, 85-A (2003), pp. 2425-2428
[6.]
S. Miller.
Techniques and prevention of complications for intramedullary nailing arthrodesis of the ankle.
Tech Othop, 16 (2001), pp. 372-380
[7.]
L. Berson, W.C. McGarvey, T. Clanton.
Evaluation of compression in intramedullary hindfoot arthrodesis.
Foot Ankle Int, 16 (2002), pp. 372-380
[8.]
T. Mückley, K. Hoffmeier, K. Klos, A. Petrovitch, G. con Oldemburg, G.O. Hofmann.
Angle-stable and compressed angle-stable locking for tibiotalocalcaneal arthrodesis with retrograde intramedullary nails.
Biomechanical evaluation. J Bone Joint Surg Am, 90 (2008), pp. 620-627
[9.]
A.S. Gavaskar, N. Chowdary.
Tibiotalocalcaneal arthrodesis using a supracondylar femoral nail for advanced tuber- culous arthritis of the ankle.
J Orthop Surg (Hong Kong), 17 (2009), pp. 321-324
[10.]
P.J. Millett, M.J. O’Malley, E.T. Tolo, J. Gallina, S. Fealy, D.L. Helfet.
Tibiotalocalcaneal fusion with a retrograde intramedulary nail: clinical and funtional outcomes.
Am J Orthop, 31 (2002), pp. 531-536
[11.]
R. Hammett, S. Hepple, B. Forster, W.J. Harries, I. Winson.
Tibio-talo-calcaneal (hindfoot) arthrodesis by intramedulary nailing. Results of 54 cases.
J Bone Joint Surg Br, 85 (2003), pp. 246
[12.]
T.T. Niinimäki, T.M. Klemola, J.I. Leppilahti.
Tibiotalocalcaneal artrhodesis with a compresive retrograde intramedullary nail: a report of 34 consecutive patients.
Foot Ankle Int, 28 (2007), pp. 431-435
[13.]
A. Tavakkolizadeh, M. Klinke, M.S. Davies.
Tibiotalocalca- nea arthrodesis in treatment of hindfoot pain and deformity.
Foot Ankle Surg, 12 (2006), pp. 59-64
[14.]
T. Mückley, K. Klos, T. Drechsel, C. Beimel, F. Gras, G.O. Hofmann.
Short-term outcome of retrograde tibiotalocalcaneal arthrodesis with a curved intramedullary nail.
Foot Ankle Int, 32 (2011), pp. 47-56
[15.]
Wukich DK, Shen JY, Ramirez CP, Irrgang JJ. Retrograde ankle arthrodesis using an intramedullary nail: a comparison of patients with and without diabetes mellitus. J Foot Ankle Surg 2011. Article in press.
[16.]
M.S. Pinzur, A. Klelikian.
Charcot ankle fusion with a retrograde locked intramedullary nail.
Foot Ankle Int, 18 (1997), pp. 699-704
[17.]
G.M. Russotti, K.A. Johnson, J.R. Cass.
Tibiotalocalcaneal arthrodesis for arthritis and deformity of the hind part of the foot.
J Bone Joint Surg, 70A (1988), pp. 1304-1307
[18.]
R.G. Alvarez, T.M. Barbour, T.D. Perkins.
Tibiocalcaneal arthrodesis for non braceable neuropathic ankle deformity.
Foot Ankle Int, 15 (1994), pp. 354-359
[19.]
R.T. Laughlin, J.H. Calhoun.
Ring fixators for reconstruction of traumatic disorders of the foot and ankle.
Orthop Clin North Am, 26 (1995), pp. 287-294
[20.]
J.A. Papa, M.S. Myerson.
Pantalar and tibiotalocalcaneal arthrodesis for post-traumatic osteoarthrosis of the ankle and hindfoot.
J Bone Joint Surg Am, 74 (1992), pp. 1042-1049
[21.]
S.S. Fleming, T.J. Moore, W.C. Hutton.
Biomechanical analysis of hindfoot fixation using an intramedullary rod.
J South Orthop Assoc, 7 (1998), pp. 19-26
[22.]
S. Kamath, N. Ramamohan, I.G. Kelly.
Tibiotalocalcaneal artrodesis in rheumatoid arthritis using the supracondilar nail.
Foot and Ankle Surgery, 11 (2005), pp. 75-79
[23.]
Chettiar K, Halder S, Bowman N, Cottam H, Armitage A, Skyrme A. Tibio-talo-calcaneo using a locked intramedulary coimpressive nail. Foot Ank Surg 2010. Article in press.
[24.]
K. Mader, C.C. Verheyen, T. Gausepohl, D. Pennig.
Minimally invasive ankle arthrodesis with a retrograde locking nail after failed fusion.
Strat Traum Limb Recon, 2 (2007), pp. 39-47
[25.]
B.D. Bevernage, P.A. Deleu, P. Maldague, T. Leemrijse.
Technique and early experience with posterior arthroscopic tibiotalocalcaneal arthrodesis.
Orthop Traumatol Surg Res, 96 (2010), pp. 469-475
Copyright © 2012. SEMCPT. Publicado por Elsevier España, S.L.U.
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