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Arthroscopic ankle arthrodesis.

I G Winson¹, D E Robinson, P E Allen

¹Avon Orthopaedic Centre, Southmead Hospital, Westbury-on-Trym, Bristol, England, UK.

The Journal of Bone and Joint Surgery. British Volume

|March 19, 2005

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Arthroscopic ankle fusion is effective for osteoarthritis, with a 7.6% nonunion rate and manageable complications. Most patients achieve good to excellent clinical outcomes after this procedure.

Area of Science:

Orthopedic Surgery
Foot and Ankle Surgery

Background:

Ankle osteoarthritis significantly impacts patient quality of life.
Arthroscopic ankle fusion offers a minimally invasive surgical option.

Purpose of the Study:

To evaluate the outcomes of arthroscopic ankle arthrodesis.
To assess complication rates and clinical results in a large patient cohort.

Main Methods:

Retrospective review of 116 patients (118 ankles) undergoing arthroscopic ankle arthrodesis.
Data collected on indications, follow-up duration, union time, and complications.
Clinical outcomes assessed via telephone interview.

Main Results:

The mean age was 57 years; common indications included post-traumatic and primary osteoarthritis.

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Mean time to union was 12 weeks, with a 7.6% nonunion rate.

Common complications involved screw prominence removal; overall good to excellent results were reported in 83/104 patients.

Conclusions:

Arthroscopic ankle arthrodesis is a viable treatment for ankle osteoarthritis.
The procedure demonstrates a high rate of union and satisfactory clinical outcomes.
Careful patient selection and surgical technique are crucial for minimizing complications.