Ankle fusion with a retrograde locked intramedullary nail for sequela of lower extremity compartment syndrome

作     者：WANG Xu,MA Xin,ZHANG Chao,HUANG Jia-zhang,GU Xiang-jie JIANG Jian-yuan Department of Orthopaedics,Huashan Hospital,Fudan University,Shanghai 200040,China 

作者机构：Department of Orthopaedics Huashan Hospital Fudan University Shanghai 200040 China 

出 版 物：《中华创伤杂志(英文版)》 (Chinese Journal of Traumatology)

年 卷 期：2012年第15卷第3期

页      面：140-144页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Ankle Compartment syndromes Lower extremity Bone nails 

摘      要：Objective:To assess the value of ankle fusion with a retrograde locked intramedullary nail in the treatment of sequela of lower extremity compartment syndrome. Methods:Thirty-five cases of equinus deformity following tibiofibular compartment syndrome treated by means of ankle fusion with a retrograde locked intramedullary nail from January 2001 to December 2010 were retrospectively *** complications,the time needed for bony fusion of the ankle joint assessed by anteroposterior and lateral X-ray photographs as well as patients’ subjective evaluation were recorded and analysed. Results:Among the 35 patients,15 had previously undergone surgical treatment twice on the same limb,13 had thrice and 7 had to be operated on four times before ankle *** anterior midpoint approach to the ankle joint was adopted in 29 cases,while anterior midpoint approach plus a small incision on the posterior ankle joint was made in 17 cases,whereas lateral approach in 6 *** joint fusion was performed on 4 *** follow-up period ranged 6-124 months,averaged 40.6 *** grafting was not performed in this *** tibial shaft fracture occurred in one patient and was healed after conservative *** dehiscence located at previous Achilles tendon incision was found in two patients. As a result,one received an intramedullary nail emplacement at calcaneoplantar part while the wound at anterosuperior part of the other one was healed by dressing *** patients failed to bony union 5 months postoperatively,in which one healed 10 weeks after retrieval of proximal tibial nail and another by iliac *** necrosis of the toe due to blood supply dysfunction was not found in this *** the patients were satisfied with the ankle joint function *** time for bony union on X-rays was 9.8 weeks on *** for one patient who demanded removal of intramedullary nail,all the intramedullary nails were not retrieved at