Comparative study of subtalar arthrodesis after calcaneal frature malunion with autologous bone graft or freeze-dried xenograft
| Autor: | Gabriel Poglia, Carlo Henning, Murilo Anderson Leie, Carlos Roberto Galia |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Visual analogue scale business.industry Xenograft Arthrodesis medicine.medical_treatment Radiography Subtalar arthrodesis medicine.disease Surgery Calcaneus Freeze-dried Calcaneal fracture Orthopedic surgery Malunion medicine Bone graft Orthopedics and Sports Medicine business Research Article |
| Zdroj: | Journal of Experimental Orthopaedics |
| ISSN: | 2197-1153 |
| DOI: | 10.1186/s40634-015-0024-2 |
| Popis: | Background Calcaneal fracture malunion may evolve into arthrosis and severe foot deformities. The aim of this study was to identify differences in bony union following corrective subtalar arthrodesis with interposition of autologous tricortical bone graft or freeze-dried bovine xenograft. Methods We prospectively evaluated 12 patients who underwent subtalar arthrodesis, six patients received autografts and 6 received freeze-dried bovine xenografts. After a mean followup of 58 weeks, the patients were clinical assessed using AOFAS scale and the visual analog scale (VAS) for pain and for final radiographic parameters measurement. Two blind raters evaluated the length of time required for solid union of the arthrodesis and graft integration by retrospective radiographic examination. Results In the autograft group, AOFAS score improved from a preoperative average of 37 to 64 points postoperatively (p = 0.02) and mean VAS score improved from 4.7 to 1.9 (p = 0.028). In the xenograft group, AOFAS score improved from 38 to 74 points (p = 0.02) and VAS from 5.5 to 2.7 (p = 0.046). Solid union was achieved in all cases in the autograft group at an average of 5.3 weeks and in five cases in the xenograft group at 8.8 weeks (p = 0.077). Graft integration occurred after an average of 10.7 weeks in the autograft group and 28.8 weeks in the xenograft group (p = 0.016). Conclusion With the numbers available, no significant difference could be detected in the length of time required for solid union of subtalar arthrodesis between groups, although time to integration of freeze-dried bovine xenografts was statistically higher. Clinical and functional improvement was observed in both groups. |
| Databáze: | OpenAIRE |
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