Effectiveness of Arthroscopically Assisted Surgery for Ankle Arthrodesis

Xing, Guangwei; Xu, Mingjie; Yin, Jinneng; Yan, Wei; Zhang, Ligui

doi:10.1053/j.jfas.2022.12.001

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…In another review conducted using data from seven retrospective studies, a higher clinical score, fewer complications, reduced blood loss, and shorter hospital stay were found with the arthroscopic technique [24]. In the most recent large-scale meta-analysis, Xing et al showed that arthroscopic ankle arthrodesis was superior to open ankle arthrodesis alone in the treatment of ankle arthritis in terms of overall complication rate, intraoperative tourniquet time, hospital stay, non-union rate, and fusion rate [25]. However, in studies in which the arthroscopic approach was evaluated, fixation with screws was preferred for implantation, and the hindfoot nail used in our study was not examined.…”

Section: Discussionmentioning

confidence: 99%

Tibiotalocalcaneal Ankle Arthrodesis with Posterior Approach Arthroscopic-Assisted Hindfoot Nailing, Early-Mid-Term Clinical, and Radiological Results: A Retrospective Analysis of 25 Patients

Ertan,

Özbek,

Yoğun

et al. 2024

Preprint

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Background: End-stage ankle arthrosis causes severe pain and limited movement. In this case, tibiotalocalcaneal arthrodesis (TTCA) surgery forms the basis for surgical treatment in the appropriate patient group. TTCA with arthroscopy-assisted hindfoot nailing can be used to achieve a high union rate and low complication rate. In this study, we aimed to examine the early- and mid-term results of patients treated with this technique from various perspectives and to evaluate them by comparing them with the current literature. Methods: Data were collected from 25 patients who met the established criteria and underwent TTCA with posterior approach arthroscopic-assisted hindfoot nailing. In addition to the demographic data of the patients, their clinical and pain scores were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS). These scoring data were collected preoperative, postoperative 3rd month, postoperative 12th month, and at the final postoperative follow-up (18–24th months). Additionally, the union time and complication data during the follow-up period were examined. Results: When the AOFAS and VAS scores of the 25 patients were examined, a significant improvement was observed in the preoperative period and early postoperative period comparisons (p < 0.001). No significant change was observed between the comparison of the postoperative 12th month and last postoperative control clinical scores. While the union rate of the patients was observed to be 92%, the average union time was 13.1 ± 3.5 weeks. During follow-up, peri-implant fracture, deep infection, and non-union were observed in one patient each (12%). Conclusion: The early- and mid-term postoperative results of patients treated with TTCA surgery with posterior approach arthroscopic-assisted hindfoot nailing show that this technique may be an option with low complication and high union rates for the appropriate group of patients planned for ankle arthrodesis.

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Section: Discussionmentioning

confidence: 99%

Tibiotalocalcaneal Ankle Arthrodesis with Posterior Approach Arthroscopic-Assisted Hindfoot Nailing, Early-Mid-Term Clinical, and Radiological Results: A Retrospective Analysis of 25 Patients

Ertan,

Özbek,

Yoğun

et al. 2024

Preprint

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show abstract

“… 22 On the contrary, the technique of open joint incision was not used in the surgical procedure we described, and all operations are performed under arthroscopy, which has the advantages of minimal joint trauma, fast recovery from injury, and better attention to cosmetic appearance. 23 …”

Section: Discussionmentioning

confidence: 99%

Absorbable Nail Fixation of Biologic Membrane for Treatment of Cartilage Defects by Matrix-Induced Autologous Chondrocyte Implantation

Liu,

Ye,

et al. 2024

Arthroscopy Techniques

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Tibiotalocalcaneal ankle arthrodesis with posterior approach arthroscopic-assisted hindfoot nailing

Ertan,

Özbek,

Yoğun

et al. 2024

J Orthop Surg (Hong Kong)

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Purpose End-stage ankle arthrosis causes severe pain and limited movement. Tibiotalocalcaneal arthrodesis with arthroscopy-assisted hindfoot nailing can be used to achieve a high union rate and low complication rate. We aimed to examine the early- and mid-term results of patients treated with this technique from various perspectives and to evaluate them by comparing them with the current literature. Methods Data were collected from 25 patients who met the established criteria and underwent TTCA with arthroscopic-assisted hindfoot nailing. In addition to the demographic data of the patients, their clinical and pain scores were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS). Additionally, the union time and complication data during the follow-up period were examined. Results When the AOFAS and VAS scores of the 25 patients were examined, a significant improvement was observed in the preoperative period and early postoperative period comparisons ( p < .001). No significant change was observed between the comparison of the postoperative 12th month and last postoperative control clinical scores. While the union rate of the patients was observed to be 92%, the average union time was 13.1 ± 3.5 weeks. During follow-up, peri-implant fracture, deep infection, and non-union were observed in one patient each (12%). Conclusion The early- and mid-term postoperative results of patients treated with TTCA surgery with posterior approach arthroscopic-assisted hindfoot nailing show that this technique may be an option with low complication and high union rates for the appropriate group of patients planned for ankle arthrodesis.

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Effectiveness of Arthroscopically Assisted Surgery for Ankle Arthrodesis

Cited by 3 publications

References 22 publications

Tibiotalocalcaneal Ankle Arthrodesis with Posterior Approach Arthroscopic-Assisted Hindfoot Nailing, Early-Mid-Term Clinical, and Radiological Results: A Retrospective Analysis of 25 Patients

Tibiotalocalcaneal Ankle Arthrodesis with Posterior Approach Arthroscopic-Assisted Hindfoot Nailing, Early-Mid-Term Clinical, and Radiological Results: A Retrospective Analysis of 25 Patients

Absorbable Nail Fixation of Biologic Membrane for Treatment of Cartilage Defects by Matrix-Induced Autologous Chondrocyte Implantation

Tibiotalocalcaneal ankle arthrodesis with posterior approach arthroscopic-assisted hindfoot nailing

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