Outcomes of triple arthrodesis with IOFIX type fixation: A prospective study

IF 2 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-12-13 DOI:10.1016/j.fas.2024.12.002

Laura Loomans , Tom De Caluwe , Sander Wuite , Giovanni Matricali

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Abstract

Background

The aim of this study was to evaluate the patient reported outcome measures (PROMS), radiological outcome and complications when performing a triple arthrodesis using the IOFIX system for the talonavicular and calcaneocuboid joints.

Methods

Data was collected prospectively. Twenty-nine consecutive patients were reviewed 1 year postoperative. Outcomes analysed were rate of fusion, American Orthopaedic Foot and Ankle Society (AOFAS) score, Visual Analogue Scale (VAS), patient satisfaction and complications.

Results

Complete fusion was achieved in 90 %. The mean preoperative AOFAS score improved from 42 (95 % confidence interval: 22–43) to 75 (95 % confidence interval 67–82) postoperative and the mean VAS improved from 6.5 (95 % confidence interval 4.9–8.6) to 4 (95 % confidence interval 3.1–4.9), p < 0.001. There was an early complication rate of 13 %. After 1 year 86 % were satisfied and there was a complication rate of 3 %.

Conclusions

This study suggests that the IOFIX system offers a reliable and performant alternative technique for patients undergoing a triple arthrodesis.

Level of evidence

Level II, prospective cohort study

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三关节融合术与IOFIX型固定的结果：一项前瞻性研究。

背景：本研究的目的是评估使用IOFIX系统对距舟骨和跟骨立方关节进行三节融合术时患者报告的预后指标（PROMS）、影像学结果和并发症。方法：前瞻性收集资料。29例患者术后1年随访。结果分析融合率、美国骨科足踝学会（AOFAS）评分、视觉模拟量表（VAS）、患者满意度和并发症。结果：90% %完全融合。术前平均AOFAS评分从42分（95 %置信区间：22-43）提高到75分（95 %置信区间：67-82），术后平均VAS评分从6.5分（95 %置信区间4.9-8.6）提高到4分（95 %置信区间3.1-4.9），p 结论：本研究表明，IOFIX系统为三关节融合术患者提供了一种可靠、高效的替代技术。证据等级：II级，前瞻性队列研究。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.