TO EVALUATE THE FUNCTIONAL OUTCOME OF MODIFIED BLAIR’S ARTHRODESIS FOR INJURIES OF TALUS IN A STUDY CONDUCTED AT TERTIARY CARE CENTRE OF INDIA
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 2, Pages 2371-2375
Abstract
Aim: To study the functional outcome of modified Blair’s arthrodesis for injuries of TalusMethods: The Department of Orthopedics conducted this prospective investigation. This research includes 30 instances of non-union and osteonecrosis treated with modified blair's arthrodesis. The average time between injury and index surgery was 6 to 18 weeks. All patients had preoperative roentgenograms to determine fracture conformation and were treated with modified blair's arthrodesis utilising a sliding graft from the anterior tibia.
Results:Among the 30 patients, 20 (66.67%) were men and 10 (33.33%) were females. The patients' average age was 39.55±3.55 years. In the current research, 13 patients (43.33%) had tibio pedal motion of 10°- 15° and 17 patients (56.67%) had tibio pedal motion of 15°-20°, resulting in satisfactory to exceptional gait. The American orthopaedic foot and ankle society (AOFAS) and visual analogue scale (VAS) ratings were substantially different one year after surgery as compared to the preoperative period (p<0.05), showing considerable improvement in ankle joint function.
Conclusion:We found that arthrodesis with talus preservation offered improved intraoperative stability and a nearly normal-looking foot with no limb length difference. This approach has a good level of dependability in terms of pain reduction, and the residual tibio pedal movement allows the patient to walk more physiologically and without trouble.
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