Impact of intertibiofibular graft on the ankle joint: Medium-term radiologic and clinical assessment
| Autor: | Sylvain Rigal, J. Brilhault, Louis Romé Le Nail, Geoffroy Dubois de Mont-Marin |
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| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Visual analogue scale Radiography Osteoarthritis Medium term Walking distance Ankle dorsiflexion Medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Retrospective Studies Orthodontics business.industry Retrospective cohort study musculoskeletal system medicine.disease Surgery body regions medicine.anatomical_structure Ankle business human activities Ankle Joint |
| Zdroj: | Orthopaedicstraumatology, surgeryresearch : OTSR. 107(6) |
| ISSN: | 1877-0568 |
| Popis: | Intertibiofibular graft (ITFG) bridges tibial non-union, but blocks bimalleolar mortise opening, leading to loss of ankle dorsiflexion. The aim of the present study was to assess dorsiflexion loss and to determine whether it was associated with secondary osteoarthritis. Material and method A 2-center retrospective study included cases of tibial non-union, without initial involvement of the ankle, treated by ITFG with more than 2 years' consolidation. Clinical, functional and radiographic parameters were analyzed. Dorsiflexion stiffness was defined as10° flexion. Symptomatic osteoarthritis was defined by radiologic joint impingement and/or osteophytosis associated with pain4/10 on visual analog scale (VAS) restricting walking distance to less than 1 kilometer.Thirty-one cases were analyzed at a mean 7±2.8 years' follow-up. Mean pain on VAS was 3±2.6. Mean AOFAS score was 62.3±20.5 and mean SEFAS was 28.3±10.5. Mean dorsiflexion was significantly lower on the ITFG side, at 6.6±7.9° versus 15.1±4.8° on the healthy side. There was dorsiflexion stiffness in 26 cases. No correlation emerged between dorsiflexion stiffness and onset of osteoarthritis.Dorsiflexion was the most severely impacted motion. The rate of osteoarthritis was too low for any implication of dorsiflexion loss to be demonstrated, especially in traumatic contexts.IV; retrospective study. |
| Databáze: | OpenAIRE |
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