Ankle Arthrodesis: A Retrospective Analysis Comparing Single Column, Locked Anterior Plating to Crossed Lag Screw Technique

Prissel, Mark A.; Simpson, G. Alex; Sutphen, Sean A.; Hyer, Christopher F.; Berlet, Gregory C.

doi:10.1053/j.jfas.2017.01.007

Cited by 24 publications

(19 citation statements)

References 13 publications

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“…As a result, clinical scores in each group were significantly improved after surgery, similar to those reported in previous studies. [8][9][10] However, these scores were not significantly different between the two groups. Bone union time was measured at 10.5 weeks for group A and 7.8 weeks for group B.…”

Section: Discussionmentioning

confidence: 76%

“…Common complications of ankle arthrodesis are nonunion, malunion, wound infection, deep soft tissue infection, and arthritis of adjacent joints after a long-term follow-up. 17 Mark et al 10 has reported that nonunion rates are high when arthrodesis of posttraumatic arthritis is performed and that nonunion tends to be due to smoking, history of diabetes, alcohol and illicit drug use, and psychiatric history. According to Zwipp H et al 16 , screw fixation performed in a neutral posture of the ankle has a high fusion rate and low complication rate, with satisfactory functional results at mid-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of complications was relatively low, and the technique was reported to be simple and stable. 11 In addition, Mark A et al 10 has compared nonunion rates of patients who underwent anterior locking fusion plate fixation and screw fixation. One case (2.1%) of patients with an anterior plate (47 cases) reported nonunion in the Mark A et al study, and the patients using screw fixation reported 4 cases (11.1%).…”

Section: Discussionmentioning

confidence: 99%

“…8 Arthrodesis with anterior fusion plate has been reported recently. [9][10][11] Although there are many studies reporting results for each fixation material, 1,4 studies that compare these materials are insufficient. This study aims to compare clinical and radiologic results, complications of patients who underwent an arthrodesis using a 6.5 mm cannulated screw, and those who underwent arthrodesis using the same approach with an anterior fusion plate.…”

Section: Introductionmentioning

confidence: 99%

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Comparing Outcomes of the Ankle Arthrodesis by Using Two Different Materials via a Transfibular Approach

et al. 2020

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Objective: To compare clinical and radiologic results and complications of patients who underwent arthrodesis using a transfibular approach with either a cannulated screw or an anterior fusion plate. Methods: Patients who underwent ankle arthrodesis were divided into two groups according to the used materials: 6.5 mm cannulated screw (A) and anterior fusion plate (B). The clinical scores were compared between groups. The radiologic results were then assessed by union time. The results were statistically analyzed using SPSS 20. Results: There was no significant difference between both groups in the American Orthopedic Foot & Ankle Society (AOFAS) score (p = 0.75), and in the visual analog scale (p = 0.42). In group B, two cases included wound infection at the surgical site. In tt A, the mean union time was 10.5 ± 2.3 weeks. In group B, it was 7.8 ± 1.3. There was a statistically significant difference (p = 0.007) between union time in both groups. Conclusion: Anterior fusion plate is an effective method for shorter union time, but the surgeon should be careful with the surgical wound at the skin incision site in the lesion of the distal tibia. Level of Evidence III, Retrospective comparative study.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparing Outcomes of the Ankle Arthrodesis by Using Two Different Materials via a Transfibular Approach

et al. 2020

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“…5,11 But plates are often used to neutralize rotation forces along the screws. 9,14,15 Additional stability increased consolidation rates; 8 however, plates cannot be used in some cases as in arthroscopic arthrodesis. Most parameters used to determine surgery with good alignment and good position of screws use postoperative radiographs with load.…”

Section: Introductionmentioning

confidence: 99%

Pre-Planning Ankle Arthrodesis Using 3d Reconstructed Tomographies

et al. 2020

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Objective: To implement one analysis method of the ankle bone contour that could make a more precise ankle arthrodesis. Methods: Twenty tomographies were submitted to 3D reconstruction. Seven points of anatomic interest for ankle arthrodesis with the three screws technique were marked with a triplannar marker. The median of the position of markers was estimated, and the union of the seven median points allow the construction of one median ankle for that population. Using this median ankle, sizes and angles for the screws position were determined. Results: Two median ankles were reconstructed, left and right. The position of the screw passage were determined considering the anatomical parameters. In the right ankle the lateral to medial screw should enter 4.56 cm and 0.79 above and posterior to lateral malleolus, with one inclination of 17.34° in relation to tibial longitudinal axis; and 0° in relation to tibial axial plane. The position for the other two screws is also described. Conclusion: Our article is the first to presents one precise guide for ankle arthrodesis based on a populational assessment. Level of evidence II, Diagnostic Studies.

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