Ankle arthrodesis combined with tibial lengthening using the Ilizarov apparatus

Sakurakichi, Keisuke; Tsuchiya, Hiroyuki; Uehara, Kenji; Kabata, Tamon; Yamashiro, Teruhisa; Tomita, Katsuro

doi:10.1007/s007760300003

Cited by 56 publications

(44 citation statements)

References 27 publications

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“…When we considered how preoperative LLD influenced union, we noted that a greater LLD was associated with a higher risk of nonunion. The Ilizarov method has been used by numerous surgeons to equalize LLD through tibial lengthening and achieve ankle arthrodesis [21,25,27,30]. Performing a tibial osteotomy in the setting of an ankle fusion has been thought to enhance healing at the arthrodesis site [4].…”

Section: Discussionmentioning

confidence: 99%

Complex Ankle Arthrodesis Using the Ilizarov Method Yields High Rate of Fusion

Fragomen

Borst

Schachter

et al. 2012

Clinical Orthopaedics &Amp; Related Research

110

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Background Ankle arthrodesis may be achieved using the Ilizarov method. Comorbidities, such as diabetes, Charcot neuroarthropathy, osteomyelitis, leg length discrepancy, and smoking, can make an ankle fusion complex and may be associated with lower rates of healing. Questions/Purposes We asked if (1) smoking and other comorbidities led to lower fusion rates, (2) time wearing the frame affected outcome, and (3) simultaneous tibial lengthening improved fusion rates. Methods We retrospectively studied 101 patients who underwent complex ankle fusion using the Ilizarov technique. The median time wearing the frame was 25 weeks (range, 10-65 weeks). Twenty-four patients had simultaneous tibial lengthening. The minimum followup for 91 of the 101 patients was 27 months (median, 65 months; range, 27-134 months). Results Fusion was achieved in 76 of 91 patients. Smoking was associated with a 54% rate of nonunion. Fifteen of 19 patients with Charcot neuroarthropathy achieved union but had a high rate of subsequent subtalar joint failure. Time wearing the frame did not affect union rates. Tibial lengthening did not improve ankle fusion rates. Conclusion Smokers should be warned of the high risk of nonunion and we recommend they quit smoking. We also recommend surgeons recognize the higher nonunion rate in patients with Charcot neuroarthropathy. We believe tibial lengthening should not be performed to enhance healing at the fusion site.

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Section: Discussionmentioning

confidence: 99%

Complex Ankle Arthrodesis Using the Ilizarov Method Yields High Rate of Fusion

Fragomen

Borst

Schachter

et al. 2012

Clinical Orthopaedics &Amp; Related Research

110

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“…Simultaneously proceeded with tibial lengthening along with ankle arthrodesis. 15 Ilizarov fixator for ankle arthrodesis in cases with bone loss and shortening. 16,17 Fragomen et al found no supplementary effect of simultaneous lengthening over the joint fusion.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Ilizarov assisted ankle arthrodesis

et al. 2018

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Background: Among the various techniques used for ankle arthrodesis, Ilizarov technique has various advantages along with the potential for treating complex and failed cases.Methods: Eleven cases were undertaken for ankle arthrodesis using the Ilizarov fixator. Two rings were applied along the tibia and one at the talus/calcaneum. The articular cartilage was denuded, and dynamic compression applied. The clinical, functional and radiological outcome were evaluated. The goal was a stable fusion with a well aligned foot.Results: The mean follow-up period was 95 weeks. Fusion was achieved in all cases with no major complication. Only one case had a residual deformity. The average time interval for the ankle fusion was 140.8±25.7 days. The postoperative modified American Orthopaedic Foot and Ankle Society (AOFAS) Hindfoot score was 67.5±9.6 points.Conclusions: Ilizarov assisted ankle arthrodesis aids in early weight bearing, better alignment, and has good functional outcomes even in cases with previously failed procedures. It has the advantage of postoperative readjustment of the arthrodesis without the need of any second procedure with no major complications.

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“…Sakurakichi et al treated six patients with tibial lengthening and Ilizarov ankle arthrodesis [7]. The average extent of the distraction callus was 4.1 cm (range 1.1-6.8 cm), and for the bone transport group the external fixation index (EFI) was 35.4 days.…”

Section: Korrespondenzanschrift -Address For Correspondencementioning

confidence: 99%

Primäre Arthrodese des oberen Sprunggelenks nach nicht rekonstruierbarer Trümmerfraktur der distalen Tibia (Pilonfraktur)

Feibel

Uhthoff

2005

Orthop Traumatol

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Between January 1993 and September 1996, four patients (two men, two women) with severe, nonreconstructable fractures of the tibial plafond were treated. Callus distraction and Ilizarov bone transport in three patients. Age range 19-68 years (average age 45.7 years). Mean follow-up 6.6 years (4 years 9 months to 7 years 4 months). Average duration of the entire treatment in external fixation 54.4 days/cm for the three bone distraction patients. Mean transport 6 cm (4.5-8.5 cm). One patient required repeat ankle arthrodesis.

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Ankle arthrodesis combined with tibial lengthening using the Ilizarov apparatus

Cited by 56 publications

References 27 publications

Complex Ankle Arthrodesis Using the Ilizarov Method Yields High Rate of Fusion

Complex Ankle Arthrodesis Using the Ilizarov Method Yields High Rate of Fusion

Outcome of Ilizarov assisted ankle arthrodesis

Primäre Arthrodese des oberen Sprunggelenks nach nicht rekonstruierbarer Trümmerfraktur der distalen Tibia (Pilonfraktur)

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