BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

Search

RSS Abstracts 476 Expand/Collapse
- RSS 2013 64 Expand/Collapse
  - RSS Poster 24 Expand/Collapse
  - RSS Podium 40 Expand/Collapse
- RSS 2014 36 Expand/Collapse
  - RSS Podium 36 Expand/Collapse
- RSS 2015 49 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 29 Expand/Collapse
- RSS 2016 45 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 27 Expand/Collapse
- RSS 2017 40 Expand/Collapse
  - RSS Poster 15 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2018 47 Expand/Collapse
  - RSS Poster 22 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2019 48 Expand/Collapse
  - RSS Poster 25 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2021 15 Expand/Collapse
  - RSS Poster 10 Expand/Collapse
  - RSS Podium 6 Expand/Collapse
- RSS 2022 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2023 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2024 40 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 22 Expand/Collapse

Categories: Abstracts, 2016, Podium

Failed hindfoot fusion with intra-medullary nails - outcomes following limb salvage with circular frames for infected nonunions

N. Bali, P. Fenton, D. Bose

¹QE Hospitals Birmingham, Birmingham, United Kingdom

Introduction: Ankle and hindfoot salvage following infected nonunions is challenging. Revision with a two-stage procedure using internal stabilisation risks retention of bacteria on any implanted metalwork. A circular frame minimises this risk, and we present our experience at a tertiary referral limb reconstruction unit.

Methods: A prospective database was interrogated from 2009 to 2016 to identify patients who presented with infected hindfoot nonunions following hindfoot nails. One patient elected for a primary amputation, and the remainder were treated with open debridement, sampling, dead space management, soft tissue cover, and application of a circular frame using the Ilizarov technique. Outcome scores were collected using the Olerud and Molander score and EQ5D-5L.

Results: 9 patients were treated over a 7-year period. Demographics were 7 male: 2 female, average age 58 years (range 46-73 years). Follow up to latest outcome scorings was 47 months (Range 18-76 months), with one patient deceased. One patient required a local flap, and the rest were primarily closed. All patients achieved fusion across the prepared joints. Olerud and Molander score averaged 52.9 (Range 5-80), EQ5D-5L VAS 59.3 (5-95). Complications included 1 valgus malunion, 1 chronic pain syndrome, and 1 patient who eventually required an amputation secondary to vascular compromise.

Discussion: Revision fixation with a circular frame produced fusion in all cases and is useful for infective cases when internal fixation methods are limited. However clinical outcomes were varied, with chronic pain and vascular compromise leading to a poor result for now, with one considering amputation and the other needing stump revision. With acceptable results in the medium term, salvage with a circular frame should be considered for complex infected hindfoot revision fusion.

Print

Tags: Salvage Hindfoot

Click thumbnail below to view poster / thumbnail:

Archive of Abstracts