Abstract

MUNOZ FALLA, GERARDO ALEXI; DELGADO NEIRA, ALEJANDRO; ENRIQUE GAMBA, CESAR  and  HERNANDEZ PERDOMO, EDGAR. TIBIOCALCANEAL ARTHRODESIS WITH PHILOS PLATE: EXPERIENCE IN THE HOSPITAL MILITAR CENTRAL - JANUARY 2007 TO DECEMBER 2009. rev.fac.med [online]. 2011, vol.19, n.2, pp.178-184. ISSN 0121-5256.

Descriptive, observational, retrospective, case-series study conducted between January 2007 and December 2009 in the Hospital Militar Central. Twenty one patients with tibiotalar and subtalar joint arthrosis of diverse etiology were treated, with follow-up of at least 6 months. The following facts were assessed: pre-operatory and post-operatory function through the AOFAS scale, pain according to the visual analogue scale, time to consolidation by radiographic controls, type of used graft and associated complications. Complications were found in 2 patients with superficial infection which required management with intravenous antibiotic, and 2 patients showing consolidation delay who required revision surgery. The obtained results demonstrate that tibiotalocalcaneal arthrodesis with Philos plate is an excellent fixation method (90.4% consolidation) in patients with ankle and subtalar arthrosis and poor bone quality.

Keywords : tibiotalocalcaneal; arthrosis; Philos plate.

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