Functional results of Double arthrodesis in hindfoot arthrosis: Case series
DOI:
https://doi.org/10.1016/j.rccot.2019.02.001Keywords:
double arthrodesis, functional results, hindfoot arthrosis, complications, ankleAbstract
Introduction: Double arthrodesis is a surgical technique for the treatment of hindfoot arthrosis with results equivalent to triple arthrodesis. The objective was to describe the functional results in patients with a diagnosis of severe hindfoot arthrosis for different causes.
Methods: Serial series of cases of patients operated with double arthrodesis between 2012-2016. Clinical and functional improvements were assessed through the analog pain scale (VAS) and AOFAS scale of the hindfoot; The current health status was assessed using the SF-12 scale.
Results: We included 14 feet in 12 patients (2 Men, 10 Women) with an average of 62 years (Range: 38-75 years). A fusion rate of 93% was obtained and the main etiologic cause was posterior tibial insufficiency. All patients had a significant improvement in pain with a median EVA of 10 in the preoperative period (IQR 9-10) and a median of 2 in the postoperative period (IQR 0-4). The average AOFAS scale in the preoperative period was 55 points compared to 76 postoperative points. The current health status with the SF12 scale reported an average score of 69.3 ± 19.7 in the physical component and 88.3 ± 15.6 in the mental component.
Discussion: Double arthrodesis is an effective option for the treatment of hindfoot arthrosis, improving the quality of life, intensity of pain and functionality at these patients.
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