دورية أكاديمية

Patient and Surgical Factors Affecting Fusion Rates After Arthroscopic and Open Ankle Fusion: A Review of a High-Risk Cohort.

التفاصيل البيبلوغرافية
العنوان: Patient and Surgical Factors Affecting Fusion Rates After Arthroscopic and Open Ankle Fusion: A Review of a High-Risk Cohort.
المؤلفون: Shah, Ashish B., Davis, William, Littlefield, Zachary L., Young, Sean, Alexander, Bradley, Andrews, Nicholas A., Khurana, Ankit, Cage, Benjamin, Sinha, Tanvee, McGwin, Gerald, Shah, Ashish
المصدر: Indian Journal of Orthopaedics; Jul2022, Vol. 56 Issue 7, p1217-1226, 10p
مصطلحات موضوعية: ANKLE surgery, OBESITY, UNUNITED fractures, ARTHRODESIS, ARTHROSCOPY, BONE screws, SURGERY, PATIENTS, TREATMENT effectiveness, FRACTURE fixation, DESCRIPTIVE statistics, SMOKING, LONGITUDINAL method
مستخلص: We present a case series with the objective of identifying risk factors for nonunion after open and arthroscopic primary ankle arthrodesis. Eighty-seven patients who underwent primary ankle arthrodesis and met inclusion criteria were divided into open (N = 46) and arthroscopic (N = 41) groups. Patient and operative characteristics were retrospectively analyzed as possible risk factors for nonunion within each technique. The nonunion rate was 11% in the open and 12% in the arthroscopic group. Obesity, smoking, and ASA class 3 were highly prevalent in both groups. In the arthroscopic group, a remote history of infection and the use of headed screws had notably higher risk of nonunion, though not statistically significant. In the open group, use of bone graft trended toward lower risk of nonunion, though also not statistically significant. The results of this study demonstrated, nonunion rates are comparable between open and arthroscopic ankle arthrodesis in high-risk patients. For patients with a remote history of infection, open ankle arthrodesis may be preferable, and bone graft importance may vary with open versus arthroscopic technique. Level of evidence: III. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:00195413
DOI:10.1007/s43465-021-00580-6