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Osteotomy Joint preserving Does not compromise further procedures Limited indications Arthrodesis Good pain relief Allows heavy loading Long immobilization Impact on motion and function High non-union rate May develop STT or MCP osteoarthritis
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surgery. Surgery The first report of arthrodesis of the SIJ for micro-traumatic pain was in 1987 by Waisbrod et al. 21 They described a direct posterior approach of the joint, a removal of cartilage surface and bone grafting from the iliac
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technique is triple arthrodesis (talocalcaneal, talonavicular and calcaneocuboid), but long-term follow-up has shown onset of secondary tibiotarsal osteoarthritis in 58% to 77% of cases. 21 , 22 An alternative method consists of resecting the synostosis
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exchanged redislocated Three months later, redislocated, and femorotibial arthrodesis was performed thereafter Case 1: fatigue of the tibial anti-dislocation polyethylene component Case 2: Femoral component loosening, fatigue of the tibial anti
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third scenario, we believe that the cause of pain is predominantly due to the marked deformity of the foot. The bar acts as an arthrodesis, holding the joint in a poor position. Some authors consider that this is a good indication for arthrodesis
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. 14 Motion segment instability is the primary indication for arthrodesis, which leads to increased stress on the adjacent cephalic levels, presumably from a larger lever arm and non-physiological centre of motion. 15 The incidence and prevalence of
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between accident and end-stage osteoarthritis (arthrodesis or prosthesis) of 1–52 years ( 4 ). Because of this confusing lack of clear and recent evidence for the prognosis of ankle fractures, we performed a systematic review addressing the following
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patients otherwise proposed for amputation. The authors obtained good to excellent results with a mean contracture correction of the PIP joint of 37º. 51 Amputation and arthrodesis These procedures are options for patients with severe
Clínica Universidad de los Andes, Santiago, Chile
Universidad Andrés Bello, Hospital del Trabajador, Facultad de Medicina, Santiago, Chile
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Sanatorio Güemes, Buenos Aires, Argentina
Hospital General de Agudos Dr. Teodoro Álvarez, Buenos Aires, Argentina
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Spine Unit, Department of Traumatology, Clínica Alemana, Santiago, Chile
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Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg, Germany
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, with the use of rigid collar for 6 weeks, followed by a soft collar for 2–4 weeks and radiographic follow-up after 2 and 6 weeks. If this treatment fails, anterior cervical arthrodesis in the compromised segment is recommended. The previously defined
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subtalar arthrodesis (25%). 8 Fractures that were missed or untreated for more than two weeks after sustaining injury have been associated with poor outcome, with long-term and persistent pain despite undergoing subsequent surgery, with up to 20
