Posthumus, M. (2014) Het bepalen van de patiënttevredenheid, functionaliteit en de relatie met bone-union na een tibio-talo-calcaneaire artrodese met de “Keulse pen”, een retrospectieve studie. thesis, Medicine.
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Abstract
Background: a tibio-talo-calcaneaire arthrodesis is the final solution for patients with severe ankle and subtalair pain, and functional complaints. These complaints have different origins, such as primary osteoarthritis or secondary due to trauma, rheumatoid arthritis or instability. Retrograde intramedullary nailing is one of the most used techniques for arthrodesis in the past years. The aim of this study was to assess the union rate and the postoperative satisfaction and functionality in patients operated with a Cologne nail. Methods: this is a retrospective study within Isala hospital, Zwolle. Seventy-three patients underwent an arthrodesis with a Cologne nail between March 2000 and October 2012, all operated by the same orthopedic surgeon. The average age was 59 years (22 – 86) with a mean follow up of 5 years (1 – 13). The minimal follow up was 1 year. The primary outcomes were the American Orthopaedic Foot and Ankle Society (AOFAS), ankle/hindfoot questionnaire and the pre- and postoperative VAS-satisfaction score. Secondary outcome was the union rate assessed by X-rays of the ankle 6, 12 and 52 weeks postoperative. Results: the difference between the pre- and postoperative VAS-satisfaction score was 3.7 points (3.0 – 6.6). Eighty-three percent of the patients were clearly more satisfied after the surgery. The AOFAS was 47.6 (scale 0 – 86). Eighty-one percent of the patients reported no or very light pain during follow-up. Eleven re-operations were performed, 9 infections were registered and 1 lower leg amputation was executed as direct result of the double-artrodesis. The union rate for the ankle and subtalar joints after arthodesis was 97.7 % and 90.5 % 1 year postoperative. No correlations were found between fusion(time) and AOFAS score or VAS-satisfaction score. Conclusion: the Cologne nail ‘Keulse pen’ is a frequently used instrument for tibio-talo-calcaneaire arthrodesis. Arthrodesis with a Cologne nail is associated with high union scores and high postoperative satisfaction rates in patients.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Verheyen, dr. C.P.P.M. and Rolink, drs. R. and Isala Zwolle |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:00 |
| Last Modified: | 25 Jun 2020 11:00 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2043 |
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