The Trans-Achilles Approach for Plate Supplementation of Ankle Arthrodesis With an Existing Hindfoot Fusion Nail: A Case Report.
| Autor: | Elhessy AH; Medicine, University of Maryland School of Medicine, Baltimore, USA.; Orthopedics, The Rubin Institute for Advanced Orthopedics/Sinai Hospital, Baltimore, USA., Annasamudram A; Orthopedics, The Rubin Institute for Advanced Orthopedics/Sinai Hospital, Baltimore, USA., Wu S; Podiatry, International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Baltimore, USA., Conway JD; Orthopedics, International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Baltimore, USA. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 May 27; Vol. 15 (5), pp. e39569. Date of Electronic Publication: 2023 May 27 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.39569 |
| Abstrakt: | Tibiotalar arthrodesis revision surgeries are not uncommon. Several approaches have been described in the literature for ankle arthrodesis nonunions. In this article, we describe the posterior trans-Achilles approach, which ensures adequate surgical exposure while minimizing damage to the surrounding soft tissues. It provides a convenient method for utilizing bone grafts or substitutes and allows for the advantageous application of posterior plating. The possible complications of this approach are delayed wound healing, wound infection, injury to the sural nerve, and the potential need for a skin graft. Despite the advantages of this approach, infection, delayed union, and nonunion risks remain high in this patient population. Finally, the trans-Achilles approach is valid for complex ankle procedures, especially in revisions with compromised ankle soft tissue envelopes. Competing Interests: The authors have declared financial relationships, which are detailed in the next section. (Copyright © 2023, Elhessy et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|