Funcionalidad física según el cuestionario de salud SF-36 en pacientes sometidos a artrodesis tibiotalocalcánea con enclavado endomedular retrógrado en una clínica universitaria de Colombia

Juan Guillermo Ortiz-Martínez; María Andrea Montiel-Fernandez; Christian Yothuel Pérez-Gutiérrez; Edgar Manuel Bodu-Lamberti; María Fernanda Polo

doi:10.58814/01208845.80

Authors

Juan Guillermo Ortiz-Martínez Clínica Universidad de La Sabana, Department of Orthopedics and Trauma, Chía, Colombia. https://orcid.org/0000-0002-4274-2091
María Andrea Montiel-Fernandez Universidad del Rosario, School of Medicine and Health Sciences, Department of Surgical Clinics, Orthopedics and Trauma Specialty Program, Bogotá D.C., Colombia. https://orcid.org/0000-0003-4251-8994
Christian Yothuel Pérez-Gutiérrez Clínica Universidad de La Sabana, Department of Orthopedics and Trauma, Chía, Colombia. https://orcid.org/0009-0002-6588-8891
Edgar Manuel Bodu-Lamberti Universidad de La Sabana, Faculty of Medicine, Chía, Colombia. https://orcid.org/0009-0007-3546-3266
María Fernanda Polo Universidad de La Sabana, Faculty of Medicine, Chía, Colombia. https://orcid.org/0000-0003-0817-4462

DOI:

https://doi.org/10.58814/01208845.80

Keywords:

Arthrodesis, Fracture Fixation, Intramedullary, Ankle, Quality of Life

Abstract

Introduction: Tibiotalocalcaneal (TTC) arthrodesis is a surgical procedure performed to relieve pain and maintain or improve function in patients with ankle osteoarthritis.

Objective: To evaluate physical function, measured with the SF-36 questionnaire, in patients who underwent TTC arthrodesis using retrograde intramedullary nailing (RIN).

Methodology: Retrospective cohort study performed in 8 patients (<15 years old) that underwent ankle arthrodesis with RIN (lateral approach and use of expert hindfoot arthrodesis nail) at a university clinic in Chía (Colombia) between 2010 and 2018, and who were administered, via telephone, the validated Spanish version of the SF-36 questionnaire in September 2020. Their sociodemographic and clinical data were also collected by reviewing their medical records.

Results: The mean age of the participants was 58.5 years and 62.5% (n=5) were women. The overall score in the SF-36 questionnaire was 56.07 ± 19.67, while the scores in the physical and mental health components were 45,14 ± 33,12 and 67 ± 24,73, respectively. Regarding the outcomes of the 8 dimensions of the questionnaire, favorable outcomes were obtained in the social role (84.5±19.69), emotional role (75.0±29.65), mental health (66.0±15.71), bodily pain (57.5±29.39), and physical functioning (53.75±33.77) dimensions. In the dimensions of general health, vitality and physical role, the scores were 47.5±16.90, 42.5±9.25 and 21.87±41.05, respectively.

Conclusions: Patients who underwent TTC arthrodesis with RIN at the institution showed a limitation in physical activities ≥2 years after surgery. However, outcomes were favorable in the emotional role, mental health, social role, physical role, and bodily pain dimensions.

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Physical function according to the SF-36 questionnaire in patients who underwent tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing at a university hospital in Colombia

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