Técnica de artrodesis subastragalina mediante cirugía de mínima incisión

Article information

Resumen

La indicación más frecuente de la artrodesis subastragalina aislada es artrosis dolorosa postraumática de esta articulación secundaria a fracturas de calcáneo o astrágalo. También está indicada en la artrosis subastragalina primaria, artritis postinfección, artrosis por desalineaciones, coaliciones tarsales, artritis inflamatorias y disfunciones neuromusculares.

Muchos pacientes que requieren este tipo de cirugía presentan un elevado riesgo de complicaciones postoperatorias relacionadas con la cicatrización de las heridas debido a cirugías previas, la Diabetes Mellitus, artritis inflamatorias y otras alteraciones inmunológicas. Por esta razón es importante desarrollar una técnica quirúrgica mínimamente invasiva que se pueda realizar sin isquemia preventiva y que permita la corrección de las deformidades residuales.

Palabras clave:

Artrodesis subastragalina

Cirugía mínima incisión

Abstract

The most frequent indication for isolated subtalar arthrodesis is painful postraumatic osteoarthritis of this joint secondary to talar or calcaneal fractures. It is also indicated in primary subtalar osteoarthritis, postinfection osteoarthritis, osteoarthritis due to malalignement, tarsal coalitions, inflammatory diseases and neuromuscular diseases.

Many patients that require this type of surgery have a high risk of postoperative complications related to wound healing due to previous surgery, Diabetes Mellitus, inflammatory diseases and immunologic disorders. For this reason, it is important to develop a minimally invasive surgical technique that can be performed without ischemia and that allows correction of the deformities.

Keywords:

Subtalar arthrodesis

Minimal incision surgery

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