Outcome of Ankle Arthrodesis Using a Transfibular Approach

Akra, Gabriel Ayonmigbesimi; Middleton, Alan; Adedapo, A.; Port, A.; Finn, Paul

doi:10.1053/j.jfas.2010.07.004

Cited by 45 publications

(35 citation statements)

References 18 publications

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“…[7][8][9] One patient in this series was diagnosed CRPS, resulting in below-the-knee amputation. Nerve-associated complications have also been reported in other studies of ankle arthrodesis using a transfibular approach, 1,3 suggesting that a transfibular approach might be associated with a risk of CRPS.…”

Section: Discussionmentioning

confidence: 63%

Outcome of Transfibular Ankle Arthrodesis with Ilizarov Apparatus

et al. 2012

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Background: Both transfibular ankle arthrodesis with fibular onlay grafting and ankle arthrodesis using the Ilizarov apparatus have resulted in acceptable fusion rates.This study analyzed outcomes in our practice for all patients who underwent transfibular ankle arthrodesis with fibular onlay grafting using the Ilizarov apparatus. Forefoot stabilization with a forefoot ring achieves rigid stabilization resulting in a shorter duration of external fixation. Materials and Level of Evidence: IV, Retrospective Case Series

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Section: Discussionmentioning

confidence: 63%

Outcome of Transfibular Ankle Arthrodesis with Ilizarov Apparatus

et al. 2012

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“…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%

“…However, other open approaches include the posterior, which can also be used as a salvage approach or in the presence of other wounds that can compromise the soft tissue envelope (40). The lateral transmalleolar approach allows excellent exposure of the ankle joint; however, it requires either excision or osteosynthesis of the lateral malleolus (34).…”

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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“…Screws provide greater fixation stability than wires. There are techniques, where 2 or 3 screws, introduced in different planes, are applied [20,[25][26][27]. Intramedullary rods allow the surgeon to perform the operation technologically according to a standard protocol, make compression in the postoperative period possible, but inevitably result in blockage of the subtalar joint.…”

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confidence: 99%

The Concept of Modern Ankle Joint Arthrodesis in Posttraumatic Crusarthrosis, Grade III–IV

Gorbatov¹,

Горін²,

Павлов³

2016

Sovrem Tehnol Med

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The aim of the investigation was to work out a concept of modern arthrodesis of the ankle joint in posttraumatic crusarthrosis, grade III-IV, using innovative fixing implants.Materials and Methods. The results of treating 53 patients covering the period from 1 to 15 years after 56 operations of arthrodesis, performed for posttraumatic crusarthrosis, grade III-IV (according to Kellgren and Lawrence classification), have been analyzes. The conclusions were based on the data of radiographic, clinical examination and the scoring according to the international rating scale AOFAS. Arthrodesis was performed using state-of-the-art fixing implants: with the help of the screws, retrograde intramedullary HAN rod, Ilizarov apparatus for external fixation, wires.Results. In the majority of patients (41%) the main cause of developing posttraumatic crusarthrosis of grade III-IV was unrepaired intraarticular dislocation of the ankle fragments and a large fragment (more than 1/3) of the posterior tibia margin. The best results, i.e. fewer ligamentous ankylosis (32%) and the greatest number of good (39%) and satisfied (54%) results according to AOFAS scale were obtained when crossed screws were used in arthrodesis. It was estimated, that the assessment of clinical and functional signs according to the international scale AOFAS does not reflects the most vital spectrum of life activity indices of patients, therefore, it has been suggested to use additionally individualized indices characterizing the quality of life of patients of various professions, levels of every-day activity and psychological motivation to adequate rehabilitation. Unsatisfied radiographic findings did not always corresponded to the poor clinical results. In 56% of patients with ligamentous ankylosis the result according to AOFAS was good or satisfactory (slight pains in prolonged walking, moving without additional supporting means, absence of evident limping).Conclusion. The worked out concept of modern arthrodesis is as follows: 1) the choice of ankle arthrodesis method and the type of a fixing implant must depend not only on the type of deformation, but on the patient's age, gender traits, diseases contributing to the development of unfavorable treatment results; 2) the best clinical and functional results are connected with the method of fixation providing primary stability, and with regenerative and adaptive capabilities of patients in diverse age groups; 3) the most optimal state-of-the-art implants for arthrodesis are crossed screws for fixation, providing the greatest strength and good primary compression, if there is no marked disorder of blood supply of the articular bones and radical removal of the cartilaginous tissue.

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Outcome of Ankle Arthrodesis Using a Transfibular Approach

Cited by 45 publications

References 18 publications

Outcome of Transfibular Ankle Arthrodesis with Ilizarov Apparatus

Outcome of Transfibular Ankle Arthrodesis with Ilizarov Apparatus

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

The Concept of Modern Ankle Joint Arthrodesis in Posttraumatic Crusarthrosis, Grade III–IV

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