Arthrodesis of the ankle joint with LCP plate from the posterior surgical approach in a patient with renal osteodystrophy (hemodialisys)
https://doi.org/10.24884/0042-4625-2021-180-3-76-80
Abstract
In cases when there is a need to visualize the posterior part of the tibia and talus, the subtalar joint and the possibility of performing osteosynthesis or arthrodesis, the most optimal is the posterior surgical approach. The article presents a demonstration of successful arthrodesis of the ankle joint using an LCP plate with angular stability of screws from the posterior surgical approach in a patient with renal osteodystrophy receiving renal replacement therapy. The result of treatment according to the AOFAS scale 4 months after the operation was 70 points, the severity of pain according to the VAS was 1/2 point. Clinical and radiological characteristics were assessed as satisfactory, taking into account the severity of the deformity and the severity of osteoporosis against the background of concomitant pathology.
About the Authors
A. N. Tsed
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Alexandr N. Tsed, Dr. of Sci. (Med.), Professor, Head of the 2nd Traumatological and Orthopedic Department of the Research Institute of Surgery and Emergency Medicine
6-8 L’va Tolstogo street, Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest
K. G. Iljushenko
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Iljushenko Konstantin G., Orthopedic Traumatologist of the 2nd Traumatological and Orthopedic Department of the Research Institute of Surgery and Emergency Medicine
6-8 L’va Tolstogo street, Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest
N. E. Mushtin
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Mushtin Nikita E., Cand. of Sci. (Med.), Assistant of the Department of Traumatology and Orthopedics, Orthopedic Traumatologist of the 2nd Traumatological and Orthopedic Department of the Research Institute of Surgery and Emergency Medicine
6-8 L’va Tolstogo street, Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest
A. V. Shmelev
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Shmelev Anton V., Orthopedic Traumatologist of the 2nd Traumatological and Orthopedic Department of the Research Institute of Surgery and Emergency Medicine
6-8 L’va Tolstogo street, Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest
E. A. Schepkina
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Schepkina Elena A., Cand. of Sci. (Med.), Associate Professor of the Department of Traumatology and Orthopedics
6-8 L’va Tolstogo street, Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest
A. K. Dulaev
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Dulaev Alexandr K., Dr. of Sci. (Med.), Professor, Honored Doctor of the Russian Federation, Member of AO Trauma Russia, Head of the Traumatology Department, Head of the Department of Traumatology and Orthopedics
6-8 L’va Tolstogo street, Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest
References
1. Fomichev V. A., Sorokin E. P., Chugaev D. V., Konovalchuk N. S., Lasunskii S. A. Ankle fusion is the optimal surgery for treatment of ankle arthritis (Review) // Department of Traumatology and Orthopedics. 2019. Vol. 4, № 38. P. 18. Doi: 10.17238/issn2226-2016.2019.4.18-26.
2. Tikhilov R. M., Fomin N. F., Koryshkov N. A., Emelyanov V. G., Privalov A. M. Current aspects of treatment of hindfoot fracture complications // Traumatology and Orthopedics of Russia. 2009;(2):144–149. (In Russ.).
3. Deorio J. K., Leaseburg J. T., Shapiro S. A. Subtalar distraction arthrodesis through a posterior approach // Foot Ankle Int. 2008;29(12):1189–1194.
4. Hersh I. R., Fleming J. J. Considerations of a midline posterior approach to the ankle and subtalar joints // J Foot Ankle Surg. 2012;51(4):482–486.
5. Arkhipov C. B., Lychagin A. B. Modern aspects of the treatment of posttraumatic deforming arthrosis of the ankle joint // Vestnik travmatologii i ortopedii im. N. N. Priorova. 2000;(4):64–67. (In Russ.).
6. Didomenico L. A., Sann P. Posterior approach using anterior ankle arthrodesis locking plate for tibiotalocalcaneal arthrodesis // J Foot Ankle Surg. 2011;50(5):626–629.
7. Hammit M. D., Hobgood E. R., Tarquinio T. A. Midline posterior approach to the ankle and hindfoot // Foot Ankle Int. 2006;(27):711–715.
8. Attinger C., Cooper P. Soft tissue reconstruction for calcaneal fractures or osteomyelitis // Orthop Clin North Am. 2001;32(1):135–170.
9. Fetter N. L., DeOrio J. K. Posterior approach with fibular preservation for tibiotalocalcaneal arthrodesis with an intramedullary nail // Foot Ankle Int. 2012;33(9):746–749.
10. Kile T. A., Donnelly R. E., Gehrke J. C., Werner M. E., Johnson K. A. Tibiotalocalcaneal arthrodesis with an intramedullary device // Foot Ankle Int. 1994;15(12):669–673.
11. Russotti G. M., Johnson K. A., Cass J. R. Tibiotalocalcaneal arthrodesis for arthritis and deformity of the hind part of the foot // J Bone Joint Surg Am. 1988;70(9):1304–1307.
12. Mulligan R. P., Adams SB. Jr., Easley M. E., DeOrio J. K., Nunley J. A. 2nd. Comparison of Posterior Approach With Intramedullary Nailing Versus Lateral Transfibular Approach With Fixed-Angle Plating for Tibiotalocalcaneal Arthrodesis // Foot Ankle Int. 2017;38(12):1343– 1351. Doi: 10.1177/1071100717731728.
13. Neverov V. A., Salman Raed. Osobennosti gemodializnykh bol’nykh i recipientov allogennnoi pochki, opredelyayushchie trebovaniya k operacii ekhndoprotezirovaniya tazobedrennogo sustava // Vestnik khirurgii im. I. I. Grekova. 2005;(4):58–62. (In Russ.).
14. Tsed A. N., Dulaev A. K., Mushtin N. E., Iliushchenko K. G., Shmelev A. V. Mid-Term Outcomes of Primary Hip Replacement in Patients with EndStage Chronic Renal Disease // Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia]. 2019;25(2):44–54. Doi: 10.21823/2311-2905-2019-25-2-44-54. (In Russ.).
15. Akhmetov А. Р., Kanatli Ulunay., Khaumet Y. K., Akhaev K. S., Khussanov N. N. Arthroscopic arthrodesis for ankle arthritis // Vestnik KazNMU. 2018;(2):140–142.
Supplementary files
Review
For citations:
Tsed A.N., Iljushenko K.G., Mushtin N.E., Shmelev A.V., Schepkina E.A., Dulaev A.K. Arthrodesis of the ankle joint with LCP plate from the posterior surgical approach in a patient with renal osteodystrophy (hemodialisys). Grekov's Bulletin of Surgery. 2021;180(3):76-80. (In Russ.) https://doi.org/10.24884/0042-4625-2021-180-3-76-80
Views:
416
Email this article 