Hintermann H2

Ankle Arthrodesis in Rheumatoid Arthritis Using an Intramedullary Nail with Fins

Foot Ankle Int. 1999 Aug;20(8):485-490
Fujimori J, Yoshino S, Koiwa M, Nakamura H, Shiga H, Nagashima S


BACKGROUND: We describe an intramedullary nail with fin-like longitudinal ridges that we have developed for arthrodesis of the ankle in rheumatoid arthritis.
METHODS: Four fins with sharp tips were attached to the distal part of a cylindrical nail to stabilize the tibiotalar and subtalar joints. We used this nail in 15 feet of 15 patients with rheumatoid arthritis who were followed for an average of 34.9 months.
RESULTS: Postsurgery, 13 patients were allowed to bear weight immediately, as tolerated, without immobilization. By 3 weeks, these patients were able to bear weight fully.
CONCLUSION: Solid fusion of the ankle joint in an acceptable position and good clinical results were obtained in all patients. The only complications were two cases of delayed wound-healing.

Copyright © 1999 (Foot Ankle Int. Aug;20(8):485-490) by the American Orthopaedic Foot and Ankle Society, Inc., originally published in Foot & Ankle International, and reproduced here with permission.

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, April 27, 2012 4:09 pm