Tibiofibular arthrodesis for malunion of the talocrural joint

Loder, Brian G.; Frascone, Stephen T.; Wertheimer, Stuart J.

doi:10.1016/s1067-2516(09)80061-6

Cited by 8 publications

(9 citation statements)

References 6 publications

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“…Arthrodesis was performed for chronic pain following a malunited Weber B or C ankle fracture in 11 cases 5,6. All patients were aged over 40 years.…”

Section: Resultsmentioning

confidence: 99%

“…11 Although some success has been reported with late reduction and stabilization of chronic syndesmotic widening, this is not a viable option in cases where degenerative changes have occurred at the DTFJ resulting in pain. 5 DTFJ arthrodesis removes pain generated from a diseased joint while also providing a stable mortise and allowing motion at the tibiotalar joint. It is been suggested that this procedure should be reserved for low-demand patients only, 18 however, the present series demonstrates it can be successfully used in young, athletic individuals.…”

Section: Discussionmentioning

confidence: 99%

“…Disruption of the syndesmosis anatomy or stability can have detrimental effects on the ankle including pain, loss of function, and post-traumatic arthritis 1–4. Disruption can result from soft tissue injury, fracture, or other pathology such as an osteochondroma that distorts normal ankle anatomy, and restoration of normal anatomy is vital to achieving optimal ankle function 5,6…”

mentioning

confidence: 99%

“…In addition, when degenerative changes have occurred at the syndesmosis, fixation even with some degree of healing, may not remove the pain generated from the diseased joint. 5 DTFJ arthrodesis has been proposed as a motion-preserving salvage option in cases of chronic syndesmotic disruption. 1,7 It is an uncommonly performed procedure with few cases reported in the literature and no guidelines available regarding its indications, operative technique or outcomes.…”

mentioning

confidence: 99%

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Arthrodesis of the Distal Tibiofibular Joint: A Review of the Literature and Evidence-based Guidelines

Pisaniello

Beamond

Alder-Price

et al. 2022

Techniques in Foot &Amp; Ankle Surgery

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Distal tibiofibular joint (DTFJ) arthrodesis has been proposed as a motion-preserving salvage option in cases of chronic syndesmotic disruption and degeneration. It is an uncommonly performed procedure with few cases reported in the literature. The aim of this study was to conduct a review of the literature in order to examine the appropriate indications, operative techniques, and outcomes. The authors' also present a case for inclusion. Twenty cases of DTFJ arthrodesis were identified for inclusion. Nine operations were performed in males and 11 in females. The average patient age was 41.1 years. The indication for all arthrodeses was chronic pain instability. Symptoms were a result of disruption of the DTFJ secondary to: (a) previous fracture malunion (n = 12), (b) soft tissue injury (n = 6), or (c) osteochondroma (n = 2). DTFJ arthrodesis has been successfully utilized in cases of syndesmosis disruption secondary to osteochondroma, fracture and soft tissue injury in low-demand and high-demand adult patients of any age and activity level. Arthrodesis can be performed through an anterior or lateral ankle approach. Fixation with 2×3.5 mm screws across the DTFJ impacted with autologous bone graft provides sufficient fixation. Patient should nonweight bear on an immobilized ankle for a minimum of 6 weeks, or until bony union is evident on imaging. Level of Evidence: Diagnostic Level IV.

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“…Arthrodesis was performed for chronic pain following a malunited Weber B or C ankle fracture in 11 cases 5,6. All patients were aged over 40 years.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Arthrodesis of the Distal Tibiofibular Joint: A Review of the Literature and Evidence-based Guidelines

Pisaniello

Beamond

Alder-Price

et al. 2022

Techniques in Foot &Amp; Ankle Surgery

View full text Add to dashboard Cite

show abstract

“…1,3,[5][6][7][8][9][10][11][12][13][14][15] Ankle fractures occur frequently with an unfortunate propensity for malunion if not treated, or under corrected. Despite the ankle joint's chondrocyte leniency toward increased demands, the ankle joint doesn't tolerate mal-alignment well.…”

mentioning

confidence: 99%