Results of triple arthrodesis

Abstract

Fifteen patients were performed triple arthrodesis between 1983 and 1989 in Orthopaedic and Traumatology Department of Karadeniz Technical University Hospital, Eleven patients returned for clinical review, two of whom had had bilateral operation, giving a total of thirteen triple arthrodesis. At review, all clinical and radiological examinations were carried out. Degenerative joint changes in the ankle and midfoot also pseudoarthrosis, avascular necrosis of the talus and residual deformities were examined. Two of feet had undergone further operation for recurrent deformity. The average age at the time of primary operation in these patients was lower than in the rest. Two patients were performed ipsilateral tibial Iengthening before triple arthrodesis. We think that, lengthening of ipsilateral leg increased the risk of avascular necrosis of the talus.

Özet

Karadeniz Teknik Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalında 1983-1989 yılları arasında 15 hastanın 17 ayağına Triple Artrodez uygulandı. Kontrole çağrılan hastalar subjektif ve objektif kriterlere göre değerlendirildi. Ayak bileği ve ayak eklemlerindeki dejeneratif değişiklikler, psödoartroz, talusta avasküler nekroz ve rezidüel deformiteler incelendi. Revizyono gerek duyulan hastaların yaşları, diğerlerinden küçük bulundu. Aynı taraf extremite uzatma ameliyatlarının ise talusta avasküler nekroz riskini arttırdığı kanısına varıldı.