Percutaneous Arthrodesis for Ankle Osteoarthrosis: Experiences of the "Dowel Technique" in Two Cases.
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Two cases of ankle osteoarthrosis in the elderly were treated by percutaneous arthrodesis with the "dowel technique." On the first step, in each case, a bone gragt was taken from the iliac bone. On the second step, under X-ray television screen, the talocrural joint was reamed with a reamer, where the reamed hole was 14mm in diameter. On the third step, the iliac bone graft was introduced into the hole. The gap between the reamed hole and the graft bone was packed with cancellous chips of the iliac bone. On the final step, a short leg cast was applied.In case 1, the 73-year-old female patient had been kept, for 6 weeks, load-free in the operated ankle. The cast was removed 12 weeks after the operation. In case 2, the operated ankle being reinforced by percutaneous 2 malleolar screws, we permitted, 2 weeks after the operation, the 76-year-old female patient to bear weight. The cast was removed 10 weeks after the operation.The postoperative clinical courses have been functionally good for 2 years in case 1 and for one year in case 2.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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