Evaluating Functional And Clinical Outcomes Of Tibiotalocalcaneal Fusion With Retrograde Intramedullary Nailing
DOI:
https://doi.org/10.48047/qcfaz890Keywords:
Tibiotalocalcaneal (Ttc) Fusion, Intramedullary Nailing (Imn), Ankle/Hind Foot Pathologies,Abstract
Tibiotalocalcaneal (Ttc) Fusion Is A Widely Performed Surgical Procedure To Address Severe Ankle Pathological Conditions, Including End-Stage Arthritis, Deformities, Avascular Necrosis, And Post-Traumatic Instability (1). This Study Is To Assess The Effectiveness Of Ttc Fusion Using Retrograde Intramedullary Nailing By Analysing Key Parameters Such As Pain Relief, Mobility Restoration, Radiographic Fusion, And Overall Patient Satisfaction. By Doing So, It Seeks To Contribute Valuable Insights For Optimizing Surgical Practices And Improving Patient Care.
Aim And Objectives:
To Evaluate The Functional And Clinical Outcomes Of Tibiotalocalcaneal Fusion (Ttc) Using Retrograde Intramedullary Nailing (Imn) In Patients With Complex Ankle And Hind Foot Deformities Or Conditions Requiring Stabilization.
Materials And Methods:
A Retrospective Study Was Done On 30 Patients Who Attended Vmmc And Hospital For A Period Of 18 Months. Patients Of Age 18-75 Years With Ankle/Hind Foot Pathologies, Unreduced Dislocation, Neuropathic Joint, Arthritis, Avn, Rheumatoid Arthritis And Those Who Had Poor Response To Conservative Management And Other Surgical Intervention Were Included In The Study.
Results: The Time Taken For Fusion Was6 Months Or Less In 11 Patients,>6 Months’ In 18 Patients And Non-Union Was Seen In 1 Patient. Aofas Score Was Good In 5 Patients Pre Op And Post Operatively Aofas Score Was Good In 11 Patients, Pre-Op Aofas Score Was Fair In 8 Patients, Post-Op Aofas Score Was Fair In 19 Patients And Aofas Score Was Poor In 10 Patients Pre-Operatively And None Had Poor Aofas Score Post-Op. P-Value For Comparison Of Aofas Score Was 0.004(<0.05), Statistically Significant.
Conclusion: The Procedure With A Retrograde Hind Foot Intramedullary Nail Is Considered Both Safe And Effective, Demonstrating Positive Clinical Outcomes And Reasonable Rates Of Complications In Patients.
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References
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