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Triple arthrodesis using external ring fixation and arched-wire compression: an evaluation of 87 patients
Leonard M Talarico1, George R Vito
1Atlanta Leg Lengthening and Deformity Correction Center, Macon, GA 31210, USA.
Journal of the American Podiatric Medical Association
|January 20, 2004
Summary
External ring fixation with arched-wire compression achieved high fusion rates for triple arthrodesis. While most patients fused successfully, some experienced superficial infections or wound complications.
Area of Science:
- Orthopedic Surgery
- Surgical Techniques
Background:
- Triple arthrodesis is a surgical procedure to fuse the three joints of the hindfoot.
- External fixation offers an alternative fixation method for complex orthopedic procedures.
Purpose of the Study:
- To evaluate the clinical outcomes of triple arthrodesis using external ring fixation with arched-wire compression.
- To assess fusion rates, complications, and functional results associated with this technique.
Main Methods:
- Retrospective review of 87 patients undergoing triple arthrodesis with external ring fixation and arched-wire compression.
- Analysis of clinical and radiographic data, including fusion, infection, and wound healing.
Main Results:
- A high fusion rate of 97% (84/87 patients) was achieved within 6-8 weeks.
- Superficial infections occurred in 36% of patients, and 10% experienced wound dehiscence.
- Asymptomatic nonunion was observed in 3% of patients.
Conclusions:
- External ring fixation with arched-wire compression is an effective method for achieving triple arthrodesis.
- The technique demonstrates a high fusion rate, but careful monitoring for superficial infections and wound complications is warranted.
