Ankle Arthrodesis Using Anatomically Contoured Anterior Plate

Guo, Changan; Yan, Zuoqin; Barfield, William R.; Hartsock, Langdon A.

doi:10.3113/fai.2010.0492

Cited by 42 publications

(47 citation statements)

References 18 publications

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“…intertarsal fusion, [1][2][3] total ankle arthroplasty, 4,5 and a combination of these techniques. Ankle arthrodesis is superior to ankle arthroplasty and regarded as the gold standard, with a union rate of 85 to 100%.…”

mentioning

confidence: 99%

Transfibular Ankle Arthrodesis Using Burring, Curettage, Multiple Drilling, and Fixation with Two Retrograde Screws through a Single Lateral Incision

Lee

Min

Kim

et al. 2016

J Orthop Surg (Hong Kong)

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Purpose. To review the outcome of 23 ankle arthrodeses using burring, curettage, multiple drilling, and fixation with 2 retrograde screws through a single lateral incision. Methods. Records of 22 consecutive patients aged 39 to 79 (mean, 62.4) years who underwent 23 ankle arthrodeses for end-stage ankle arthritis were reviewed. Through a single lateral incision, articular cartilage was removed using burring and curettage, and multiple holes were drilled using a Kirschner wire, followed by fixation with 2 retrograde screws. The resected distal fibula was fixed to the distal part of the talus and tibia. The position of the ankle and subtalar joint arthrosis was assessed by 2 orthopaedic specialists. Pre-and post-operative American Orthopaedic Foot and Ankle Society (AOFAS) scores were evaluated. Results. The mean operating time was 122 minutes. The mean follow-up period was 41 months. The mean postoperative ankle alignment was suboptimal: 2.7ºTransfibular ankle arthrodesis using burring, curettage, multiple drilling, and fixation with two retrograde screws through a single lateral incision varus, 6.7º plantar flexion, and 2.9º internal rotation. The mean AOFAS score improved from 30 to 71 (p<0.01). The postoperative varus ankle alignment was not associated with the AOFAS score (r= -0.13, p=0.569). Of the 23 cases, one was nonunion and 22 achieved bone union after a mean of 5.4 (range, 2-16) months; 3 of them were delayed union. Despite bone union, 7 patients complained of persistent pain; 4 of them had progressive arthrosis of the adjacent subtalar joints (n=2) or subtalar and talonavicular joints (n=2). Conclusion. Ankle arthrodesis using burring, curettage, multiple drilling, and fixation with 2 retrograde screws achieved a high union rate and acceptable functional score without serious complications.

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mentioning

confidence: 99%

Transfibular Ankle Arthrodesis Using Burring, Curettage, Multiple Drilling, and Fixation with Two Retrograde Screws through a Single Lateral Incision

Lee

Min

Kim

et al. 2016

J Orthop Surg (Hong Kong)

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“…However, other screw orientations are possible, including the parallel screw technique, which has been reported to result in fusion rates of 95% (48). Another option includes the use of anatomically contoured plates, which, in one small case series, obtained a fusion rate of 90% by 15 weeks postoperative (32) and was found to result in a decreased interval to fusion, greater rigidity (49), and lower AOFAS scale scores compared to conventional lag screw fixation (31). Wera and Sontich (50) reported the outcome of ankle arthrodesis using a custom blade plate, with a 100% fusion rate at 37 months and an average interval to fusion of 3.9 months.…”

Section: Joint Sacrificing Surgerymentioning

confidence: 94%

“…Ankle arthrodesis remains the reference standard for the treatment of pain and deformity secondary to post-traumatic arthritis and for previous infection, osteochondral defects, osteonecrosis of the talus, idiopathic OA, and inflammatory arthropathy, including rheumatoid arthritis (3). Arthrodesis can achieve successful union rates and patient satisfaction outcomes (31)(32)(33)(34). Arthrodesis can also be used as a salvage procedure, both after nonunion of a previous arthrodesis (35) or as revision of total ankle arthroplasty, either with (36,37) or without (38) supplementary fixation adjuncts such as trabecular metal or cage fixation devices.…”

Section: Joint Sacrificing Surgerymentioning

confidence: 99%

Current Concepts in the Management of Ankle Osteoarthritis: A Systematic Review

Bloch

Srinivasan

Mangwani

2015

The Journal of Foot and Ankle Surgery

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“…1 Since 1879, when this surgical procedure was described for the first time, 2 more than 40 different surgical techniques have been described and proven in clinical studies. 3,4 In most patients with ankle arthrodesis, good early relief of pain can be achieved. 3,5 However, many long-term clinical studies have shown that later results of ankle arthrodesis often include premature deterioration of adjacent joints.…”

Section: Historical Perspectivementioning

confidence: 99%

Takedown of Painful Ankle Fusion and Total Ankle Replacement Using a 3-Component Ankle Prosthesis

Barg

Hintermann

2010

Techniques in Foot &Amp; Ankle Surgery

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Patients with nonunited or malpositioned ankle arthrodesis often present a challenge for the orthopedic surgeon. As most patients with ankle fusion develop degenerative changes in adjacent joints, rearthrodesis of the ankle may not be the optimal treatment to achieve pain relief and functional recovery. Takedown of joint fusion and conversion to total joint replacement has been shown to be efficient and have favorable results in patients with previously fused or ankylosed hip or knee joints. We use this surgical technique in patients with painful ankle arthrodesis. Taking down an ankle arthrodesis and performing a total ankle replacement is technically demanding and should be limited to an experienced foot and ankle surgeon. If performed by an experienced foot and ankle surgeon, this procedure shows promising results and low intraoperative or postoperative complications.

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Ankle Arthrodesis Using Anatomically Contoured Anterior Plate

Abstract: The application of an anatomically contoured plate provides many advantages, including less soft tissue disruption by using a single anterior incision, ease of deformity correction, early rehabilitation, and high rate of union.

Cited by 42 publications

References 18 publications

Transfibular Ankle Arthrodesis Using Burring, Curettage, Multiple Drilling, and Fixation with Two Retrograde Screws through a Single Lateral Incision

Transfibular Ankle Arthrodesis Using Burring, Curettage, Multiple Drilling, and Fixation with Two Retrograde Screws through a Single Lateral Incision

Current Concepts in the Management of Ankle Osteoarthritis: A Systematic Review

Takedown of Painful Ankle Fusion and Total Ankle Replacement Using a 3-Component Ankle Prosthesis

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