Colegio Mexicano de Ortopedia y Traumatología

Colegio Mexicano de Ortopedia y Traumatología
CMO en linea....

domingo, 25 de noviembre de 2012

Did you know that we could remove an ankle arthrodesis and replace it with a prosthesis by way of recovering joint mobility?

Fuente: http://www.drfernandonoriega.com/227/did-you-know-that-we-could-remove-an-ankle-arthrodesis-and-replace-it-with-a-prosthesis-by-way-of-recovering-joint-mobility/?utm_source=rss&utm_medium=rss&utm_campaign=did-you-know-that-we-could-remove-an-ankle-arthrodesis-and-replace-it-with-a-prosthesis-by-way-of-recovering-joint-mobility


Did you know that we could remove an ankle arthrodesis and replace it with a prosthesis by way of recovering joint mobility?


Well, yes indeed we can. Taking out an ankle arthrodesis and replacing it 
with a prosthesis allows a patient to recover lost mobility in the joint.
I’m writing this post from the Apple store while the folks at the Genius
Bar are fixing my operating system, which doesn’t feel like working well.
In addition, I am writing this today because I have seen two young patients
with ankle problems. One of them is a 24-year-old male with the sequel of a pilon
fracture that has developed into an ankle arthrosis; he has tried a number
of treatments without any success. The other is an 18-year old girl with a
damaged foot due to the sequel of a traumatism that she suffered when she
was young. They had tried to correct the damage with various surgeries, but
the worst is that they had done an ankle arthodesis on her when she was
only eight years old.
Now she is suffering the consequences of this brash operation, which has
produced in her a degeneration in the middle part of the foot. She asked me
if we could remove the ankle arthrodesis and return to her her previous
mobility, to which I answered yes, absolutely. When she told me that she
had read that ankle protheses could only be done in adults, I told her that
this idea was antiquated.
Here you can see another patient of ours upon whom we operated to fix
the sequel of a tibial pilon fracture. She came to us in such a terrible
state that we had to do an osteotomy of the tibia and an ankle arthrodesis
in order to align her leg and foot.
She was anything but conformist, and she asked me what could be done in
order to recover her previous joint mobility. One year after the
previous operation,
I designed and custom made ankle prosthesis especially for her with a stem in
the talar component. Once the prosthesis was produced, we
removed the plates and screws and we cut a rectangular-shaped hole in
the arthrodesis
in order to place there the tibial and talar components with the
stem. This operation returned to her the joint mobility that she
once possessed; it would surprise you how much the muscles of that area were
still working, and the new joint was completely stable.
You can see in this video how the patient walked through the halls of our
Institute six months after the operation. It’s surprising, yes, but real!


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